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SENDER: DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A..S tuGe <br /> item 4 if Restricted Delivery is desired. i ❑Agent <br /> ■ Print your name and address on the reverse G ❑Addressee <br /> so that we can return the card to you. B. Receiv by(Printed Name) Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: <br /> D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> 1��presen�, b`-I <br /> �olnc� . (zohec�-� �r. <br /> /r� ^^ (� 3. Service ype <br /> t 7 ��O�k' 1 rtrfied Mail ❑Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> 1 ■ rG C 0 �� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number I h DO�� ��, (' <br /> (transfer service labs v `'IL <br /> PS Form 3811,February 2004 Domestic Return Receipt 102e95-02-M-1540 <br />