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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . . <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. 1 ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, 13. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permlts. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> --�ubex Uv�11 i a S;TrcXSt <br /> 3. Service Type O Priority Mail Express® <br /> II �I�I�I III III I III I I I III I I II I�II I lII I it�� ❑Adult Signature ❑Registered MailTM <br /> O Adult Signature Signature Restricted Delivery Registered mail Restncte <br /> Certified Maile Delivery <br /> 9590 9402 1217 5246 1939 60 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from Service label) ❑Collect on Delivery Restricted Delivery 11 Signature Confirmation- <br /> 'tall ❑Signature Confirmation <br /> 7015 1520 0 0 0 0 9895 8686 of l Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> ED •� <br /> ..n <br /> m <br /> Lrl <br /> it Certified Mao Fee <br /> � S s• <br /> Extra Services&Fees'check box,add lee as apprcpvei <br /> ❑Return Receipt(hardcopy) <br /> 13 <br /> is <br /> 0 El Return Receipt(electronic) <br /> C3 ❑CerLSod Mail Restricted Delivery $ - PostmVrk <br /> 1:3 ❑Adult Signature Required —� Herd <br /> [I Adult Signature Restricted Delivery$ <br /> O Postage <br /> �) age and Fees <br /> rl Total Post <br /> Lrl Sent To <br /> LJ--------- - <br /> C3 Street and ApLN--- o O Box N <br /> rty,State,ZIP+ e <br /> h �----------------------- <br /> Co l�3`� <br />