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SENDER: 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. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. 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: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> 3. Service Type <br /> Certified Mail® ❑Priority Mail Express'" <br /> ❑Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 7885 6866 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> n -eC 7 <br /> AnNS ONd ONINIw <br /> i M011MV103S d0 NWM <br /> 91OZ l 0 AON <br /> 3AI303H <br /> I <br /> OOOOOELbE <br /> 9999 599Z 2000 02T2 fiTOZ EbZZ-E0308 0pea01o0 `aanuaQ <br /> 9 LE WO08 `199aIS ueuaaa4S E LE L <br /> Sao,lnosaa IeanWN;o juawa Aedaa <br /> 419IL-S pue 6uiuiW `uoi}ewej0a8 10 uOiSinia <br /> )OV 1010D 40 UVIS <br />