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COMPLETE • • • • <br /> ■ Compiete items 1,2,and 3. A. S"ture <br /> ®` ❑Agent <br /> ■ Print your name and address on the reversed ��a �. ❑Addressee <br /> so that we can return the card to you. 1 ' <br /> is Attach this card to the back of tfie mailpiece, B. Received (printed Name) C.Date of Deliver <br /> _ or on the front if space permits. �. :� �C� <br /> 1. Article addressed to: D. Is delivery address different from Item 17 ❑Yes <br /> [vi ��F L,c_r� �t" r.r. r:.`✓=: If YES,enter delivery address below: �No <br /> 111111111 111111111111111111111111 llll l iil l!II! I Q dul S Signature <br /> turreService eRestricted Delivery e I Maority Mail il��to <br /> 9590 9�403 0406 5163 0690 14 '1 Ce�rimeedd MetRestricted 09INM a��lpt for <br /> ❑Collect on Del" Merchandi30 <br /> 2. Article Number(Transfer from sRrvira iahAn 10 Collect on Delivery Restricted Dellvery Signature ContlmtatlonT' <br /> Irrenred Mail ❑Signature Conflrmatlon <br /> 7015 0640 0004 7321 2 8 3 5 insured Mall Retricted Dellvary Restricted Delivery <br /> (war <br /> Ps Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAILO RECEIPT <br /> m Domestic Mail Only <br /> ti <br /> rq <br /> n_I Certified Mail ree <br /> m <br /> N ra rvlces ,e9s(chock box,add roes MPrPL+1e—+e)� <br /> --1'• ❑Retum Receipt ftwdcopy) $ <br /> C3 ❑Return Receipt(Nectron d S f Postmark <br /> 0 ❑Certified Mar nesirictod mitvory S__�,•—_ <br /> O ❑Adult Signature Roquved <br /> El Adult signature Restrbted DeTlary <br /> ® Postage . . <br /> Q Total Postage and ees. <br /> r�7 SeIrtTO <br /> ED <br /> $iieeianifApf.7Vo..oird'aoxllfo:---------------------------------------------- <br /> f` _ <br /> G_ Y 2� — <br /> 171 Stein:-2fP*da------ - <br /> :11 <br />