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Ei COMPLETE THIS DELIVERY <br /> SENDER: COMPLETE THIS SECTION a rigna <br /> ■ Complete items 1,2,and 3. Agent <br /> ■ Print your name and address on the reverse X a Addressee <br /> so that we can return the card to you. B. R ved by(Print N e) C. a of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> C.1+•i '� � ' D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: <br /> _ i• if YES.enter delivery address below: O No <br /> p <br /> fy G10 p, o t <br /> p�' d I YGttSf <br /> ❑Friority MWI Express® <br /> 0 Adult Signature 3. Service Type ❑Registered Mail- <br /> i f 1 ❑Adult Signature Restricted Delivery ❑R istered Malt Restrict <br /> De r,Cerery <br /> tified WHO <br /> Delivery ❑�cr"h Merchandise <br /> Receiptfor <br /> 9590 94021217 52461941 10 0 Coiled on Delivery Restricted giver ❑Signature ConfinnatiO <br /> N� ❑Signature Confinnation <br /> 2: Article Number(Transfer from service label) 4a l Restricted Delivery Restricted Delivery <br /> 7215 1520 2222 9895 9627 w <br /> Domestic Return ReceiF <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> s <br /> Q _ <br /> Ir <br /> Ln 117 Certified Mad Fee <br /> check box,add fee as aPProPnate) - <br /> � s( 'ITOQ' Extra Services&Feeyd_epY) Here j <br /> Return Receipt lh $ ----_' <br /> elearowc) .c <br /> Q []Return Rocetpi( Delivery $ , <br /> Q ee,fled Mad Restricted <br /> Q0 Adult Signature Requited , <br /> Q 0 Adult Si9natura Restricted Delivery$ <br /> Q postage <br /> N $ tj-rota postage and Fees <br /> � , <br /> $ ( pig_ . d�'-------------- <br /> tIl Sent To e ( e + a _ l r 4 5 F` <br /> 1.� r ee'� <br /> p Box No. <br /> Q Street an <br /> r - <br /> �ity State, IP+4" _ <br /> „r• <br /> ,t � <br />