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q Complete;ttrns 1, 2, and 3. Also complete <br />Item // if R6stricted Delivery Is desired. <br />N 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 mailplece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />2. Article Number 7 010 <br />(Transfer from servlct,,a <br />PS Form 3811, February 2004 <br />A. Signature <br />!B. <br />❑ Agent11Addressoe <br />R�ecelved byl Printe ants) C. Date of Delivery <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Typo <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑Yos <br />0090 0000 061.4 4736 <br />Domestic Return Receipt <br />■ ComplotoIto��*-;, 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 maliplece <br />or on the front If space permits. <br />1. Article Addressed to: <br />1 r <br />A. Signature <br />X <br />102595.02-M•1540 <br />❑,Agont <br />B. ReceivedD@ <br />t5y Printed Name) C. t 1 f Doll ory,, <br />v ff t <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />// <br />—4 e (.� � <br />3. Service Type <br />❑ Certified Mall <br />❑ Registered <br />❑ Insured Mall <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.O. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) <br />7010 3 0 L1 <br />a 03 614 <br />_4 6 _ <br />t PS Form 3811, February 2004 <br />Domestic Return Receipt <br />102595-02-M-1540: <br />■ C mplote Items 1, 2, and 3. Also complete <br />Ite 4 If Restricted Delivery Is desired. <br />� Pr 1t your name and address on the reverse <br />so that we can return the card to you. <br />■ At ' ch this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />cool yz a. s <br />A. Signature <br />X ❑ Agent <br />-t6.1.,r�•�1-�^�'t�`�w ❑ Addressee <br />B. Received by ( Printed Name) C. Date of Dellvery <br />D. Is delivery address different frorn "am 17—Iffy—os <br />If YES, entor delivery address iitilr :J: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mall <br />❑ Registered ❑ Return Receipt for Meichandlso <br />❑ Insured Mall ❑ G.O.D. <br />4. Restricted Delivery? (Extra Fee) EI Yos <br />2. Article Number, <br />(rransfer trorn service label) 7 010 3090 0003 0 61, 4 4682 <br />