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- i <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature r <br /> ■ Print your name and address on the reverse X :� }. v!�'�' Agent <br /> so that we can return the card to you. \ ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from Item 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> PECK,DOUGLAS&PAT <br /> 3628 BENT RIDGE DR <br /> PLANO,TX 75074-7748 <br /> II�'III'I IIII I'I I I II I I I I II IIIII I III II IIII I I III 3. Service Type ❑priority Mail Express® <br /> LI Adult Signature ❑Registered Mail'"' <br /> D Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mai* Delivery <br /> 9590 9403 0903 5223 4143 56 11 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Arfr^ram ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" <br /> 7 015 1660 0000 0779 3152 ❑RestriSignacted <br /> Deli Confirmation <br /> Acted Delivery Restricted Delivery <br /> S.Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> I <br /> I <br /> I <br /> i <br /> I <br />