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COMPLETE THIS SECTION . <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete <br /> item 4 if Restricted Delivery is desired. 17 Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. Receiv d by Q N 0--date of Delivery <br /> ■ Attach this card to the back of the mailpiece, � f ca <br /> or on the front if space permits. <br /> D. Is delivery address different from Rem$ C]Yes <br /> 1. Article Addressed to: C .y rrt C C(e C If YES,enter delivery address below.W ❑No <br /> �cX 15 ? S <br /> 3. Service Type <br /> 'ZCertifled Mail 0 Express Mail <br /> ( � 3 /❑Registered 0 Retum Receipt for Mwdrendise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number y U Q U <br /> (Transfer from service labeo 1 Cc tl V (U <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />