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to Complete Items 1, 2, and 3. <br />E Print your name and address on the reverse <br />so that we can return the card to you. <br />13 Attach this card to the back of the mailplece, <br />or on the front If space permits. <br />S, Article Addrrrssed to: --- --- <br />X❑,i Agent <br />Addre: <br />S. aecRivea b (P nted Name) .C. <br />j L CZDpte Dell, i <br />D. Is delivery address different from item 1? ❑ Yes <br />if YES, enter delivery address below: ❑ No <br />r <br />o Complete items 1, 2, and S. <br />M Print your name and address on the reverse <br />so that we can return the card to you. <br />Q Attach this card to the back of the mallplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />♦_ 4 <br />11� <br />I�I�III�11ll�lllllllllllll Ill�ll li �!IIIII ISI <br />9590 9402 2156 6193 1139 16 <br />2- Article Number (Transfer fmm service labeq <br />7016 2070 0000 3435 9900 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />A. Signatu <br />X ) f ._ 0 Agent <br />�Y7��" ❑ Addm <br />B. ecelved by (Printed <br />Name) I C. Date of Dell <br />D. Is delivery address different from {tem 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />3. ServidultS aType <br />13 NGrftReglot Md e <br />Il <br />13Adult Slgnelum Restdclad Dellvary <br />0 R Istered Mall Rae <br />llf <br />ISIl111l <br />• Certified Mall RestrkW Delivery <br />1111 <br />111 <br />e <br />l ill! <br />I <br />11�1111 <br />17 Signature CoOrmul <br />ill <br />O Adult Signature <br />- <br />all- <br />d Registered Mall <br />111 <br />l� <br />0 Adult Signature Restricted Dellvary <br />E3 g yt;W Mall Res` <br />coaled. man <br />9590 9402 2156 61931139 23 <br />0 CW8fled Mall Restricted Delhrery <br />0 fie tum Recelpt for <br />13 Collectcn Denvery <br />0 Collect on Amy Restricted Danaery <br />Merchaadfsa <br />13 Sig mb" Conflmrat <br />0 Signature Confirmat <br />2. Article Number (Transfer from servke lsban <br />7 016 2070 0000 3435 9894 <br />ued Mail <br />ured Mal Pastdcted Dalvary <br />Restricted rwvary <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Ree <br />o Complete items 1, 2, and S. <br />M Print your name and address on the reverse <br />so that we can return the card to you. <br />Q Attach this card to the back of the mallplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />♦_ 4 <br />11� <br />I�I�III�11ll�lllllllllllll Ill�ll li �!IIIII ISI <br />9590 9402 2156 6193 1139 16 <br />2- Article Number (Transfer fmm service labeq <br />7016 2070 0000 3435 9900 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />A. Signatu <br />X ) f ._ 0 Agent <br />�Y7��" ❑ Addm <br />B. ecelved by (Printed <br />Name) I C. Date of Dell <br />D. Is delivery address different from {tem 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Mall Expr <br />0Prfear <br />�arlty <br />0 Adult Signature <br />13 Reglsterod Mall- <br />aly17 <br />13Adult Slgnelum Restdclad Dellvary <br />0 R Istered Mall Rae <br />• CerMled WHO <br />• Certified Mall RestrkW Delivery <br />0 R pt for <br />m Flelae <br />0 Cotlect on <br />e <br />Delivery <br />D Collectan ixlnrary Restrkdad Delivery <br />13 Signature Opnflmsat <br />Malt <br />17 Signature CoOrmul <br />�stred Mail Restrkted Dellvery <br />-C-16 <br />Restricted Delivery <br />Domestic Return Rec <br />