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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 />A. Signa ure <br />A ❑ Agent <br />` <br />X — ` V�/`J`-- ❑ Addressee <br />B. Received by (Printed Na C. Date of Delivery <br />Kt �, v�Ly v� I �-- `-i - I S <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />American General Indemnity Company <br />601 S. Figueroa Street, Suite 1600 <br />Los Angeles, CA 90071 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 7 014 015 0 0000 91, 3 8 4641 <br />(7ransfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />