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SENIDER- 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. t <br /> ■ Print your name and address on the reverse X tldressee <br /> so that we can return the card to you. B. Received by(Printed Name) Date 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 s UE, Inc. <br /> 400 Hwy 169 South 8th Floor St. Louis Louis Park, MN 55426 <br /> 3. Service Type i <br /> Z" Certified Mail® ❑Priority Mail Express7' <br /> ❑Registered ❑Return Receipt for Merchandise i <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes I <br /> 2. Article Number <br /> (Transfer from service label) 7 14 015 0 0 913 8 8502 <br /> , <br /> a <br /> S Form 3811,July 2013 Domestic Return Receipt <br /> l <br />