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SENDER: . . DELIVERY <br /> ■ Complete items 1,2,and 3. A n <br /> ■ Print your name and address on the reverse X ,„ t <br /> ❑Address <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, e by(P d Name) to of Delive <br /> / or on the front if space permits. <br /> 1. Article Addresse to: D. rs°delivery address drfferertt from item 1? Oyes <br /> rn.0 S( If YES,enter delivery address below: ❑No <br /> 9� <br /> !t 3. Service Type ❑Priority Mail Express4l <br /> •Adult II l ill II IlII I'I I III'I I III III II II it I I II(�it III ❑CCeeurtfied Signature <br /> Restricted Delivery ❑Registered <br /> Deeliv tered Maiure 0 Registered l Rest( <br /> 9590 9402 1217 5246 1939 84 ❑Collect Mail Restricted Delivery ❑Return chhand se for <br /> ❑Collect on Delivery <br /> 2. Article Number(rransferfrom service lobe!) ❑collect on Delivery Restricted Delivery ❑Signature Confirmatio <br /> n I�� Mall ❑signature Confirmatio <br /> 7 015 1520 0000 9895 8709 Aa l Restricted Delivery Restricted Delivery <br /> �o> <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Rece <br /> oPT <br /> RECEI <br /> D '�Domestic.illflaff Only <br /> f� <br /> ro <br /> u'7 <br /> rr Certified Mail Fee <br /> rD $ <br /> D, Extra Services&Fees(shack box,add tee as appropriate) <br /> ❑Return Receipt(hardcopy) $ <br /> � [I Return Receipt(electronic) $__________ gstrk <br /> 3 <br /> ❑Certified Marl Restricted Delivery $ _ „�Q <br /> I []Adult Signature Required <br /> ❑Adult Signature Restricted Delivery$ f <br /> — e <br /> C3 Postage <br /> Ill $ f <br /> N Total Postage and Fees —Y yct <br /> r� $ <br /> E3 St,et and Apt.No. rPO Bo o. <br /> �� : <br /> Ci Sfate,ZIP+4° <br /> r rrr <br />