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- I C, <br />t L0 C <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />A. Signature <br />X ❑ Agent <br />4�- ❑ Addressee <br />B.i'Received y (Printed Name) C. Date of Delivery <br />D. Is <br />Article Addressed to: If <br />Ms. Shirley Mosquera <br />Commerzbank AG, New York Branch <br />5 I ;k t Street <br />r) address different,from item 1? ❑ Yes <br />enter delivery address below: ❑ No <br />22 I _er y <br />New Ttfk, NY 10281 -1050 3. Service Type <br />❑ Certified Mail® ❑Priority Mail Express"" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 0150 0000 9138 8960 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />r3 <br />- No Insurance Coverage <br />(Domestic Only, <br />Provided) <br />Er <br />143 <br />0 gm M WTT.WM <br />i <br />$0.48- <br />m <br />M <br />' <br />$3.30 — <br />a <br />o <br />postage. <br />ee: <br />$2.70 <br />O <br />tifi <br />CeredseCe1pt Fee: <br />$6.48 <br />C3 <br />° <br />R,Retu'll <br />(Endors & Fees: <br />Re4 cTotal postage <br />. <br />C3 <br />til <br />r-1 <br />(Endorse <br />Total Postage & Fees <br />Ls <br />O <br />�' <br />sE Ms. Shirley Mosquera <br />m <br />� <br />o <br />Commerzbank AG, New York <br />Bra <br />Iti <br />or <br />ci 225 Liberty Street <br />New York, NY 10281 -1050 <br />