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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X t <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Ms. Amy Burns <br /> Wells Fargo Insurance Servic-1s USA, Inc. <br /> 400 Hwy 169 South 8th Floor I <br /> St. Louis Park, MN 55426 f 3. Service Type <br /> ZT_ 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 8502 <br /> (Transfer from service label) _ <br /> S Form 3811,July 2013 Domestic Return Receipt <br />