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Complete items 1, 2, and 3. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to; <br />bR' i.-- <br />CA -N Cy%::'CJii i. Nj4C4- 7 <br />12 -SS Cl UI <br />- 'I '4F'fC.pr CO 61::�>O1 <br />11111111111111111111111111111 IN I HIM IIII <br />9590 9403 0689 5196 5432 16 <br />2. _Article_Number (Transfer from service labeol <br />7215 1522 0222 5413 3919 <br />:Is Form 3811, April 2015 PSN 7530-02-000-9053 <br />( ❑ Agent <br />�J <br />El Addressee <br />by , ri t d Name) C. Date of Delivery <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below. ❑ No <br />3. Service Type <br />❑ Priority Mail Express® <br />❑ Adult Signature <br />❑ Registered MaiITM <br />LJ Adult Signature Restricted Delivery <br />❑ Registered Mad Restricted <br />OCertifred Mail® <br />Delivery <br />❑ Certified Mail Restricted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />LJ Collect on Delivery Restricted Dellvory <br />❑ Signature ConfirmationT <br />❑ Insured Mail <br />❑ Signature Confirmation <br />❑ Insured Mail Restricted Delivery f <br />Restricted Delivery <br />Domestic return Receipt <br />