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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 />-T'd) qe e <br />J T cc) ,N u(�I`�n� iu�c . <br />305 Y'YNpdd -k(. 5�T 0 <br />M2°D9a y <br />'A. Signature <br />X❑ Agent <br />r ❑ Addressee <br />B. Received by (R Anted Name) C. Date of Delivery <br />A- <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />El -Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6384 8284 <br />(Transfer from service label) __.. <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />