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■ 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 />1. Article Addressed to: <br />�jp2(v RVENU� <br />8 66 3 I <br />A. Signature <br />X , ❑ Agent <br />rJ ❑ Addressee <br />B. Receive byB. Receive by (Print ame) C. Date of DeliveryC. Date of Delivery <br />G,� <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se ice 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 />(7 7010 3090 0003 0614 4804 <br />1 PS Form 3811, July 2013 Domestic Return Receipt <br />