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vVISENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> DELIVERY <br /> ■ Complete items 1,2,and 3. A Sig ture <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C. D2te of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from Rem 1? ❑Yes <br /> If YES.enter delivery address below: [1 No <br /> lacomo <br /> r; . . <br /> �0 zDx 2yq <br /> 3. Service Type ❑Priority Mall Express® <br /> II [III�I IlII III I III I III III II II II I IIIIIII III ❑Adult Signature ❑Registered❑ Mall R <br /> _ ❑Adult Signature Restricted Delivery Registered Mall Restricted <br /> 5i!LCertlfied Mai{® Delivery <br /> 9590 9402 1217 5246 1939 91 El Certified Mail Restricted Delivery ❑Retum Recelpt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation" <br /> 2:Article Number(rranster from service label) .lam ❑Signature Confirmation <br /> 7 015 1520 0000 9895 8 716 �l Restricted Dells Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ; <br /> s <br /> r__3 <br /> N <br /> CO Mm <br /> Er Certified Mall Fee <br /> ra $ <br /> Er Extra Services&Fees(check box,add fee as aepropnate) <br /> Q El Return Receipt(ha dcopy) $_ <br /> 1-3ElReturn Receipt(electronic) §—_ <br /> C3 ❑Certified Mail Rostrlcted DeliverySfRlaflc <br /> 0 ❑Adult Signature Required g__ <br /> ❑Adult Signature Restricted Delivery$ <br /> C3 Postage ` <br /> r 1 ±r. <br /> u7 T ? <br /> � Total <br /> r Postage and Fees ` <br /> s <br /> t r1 <br /> ' Sent ro <br /> 7.1 aCo rnQ � i -------------­-------------------- - <br /> ------ ------- _ <br /> Street- d Apt.No.,or Pl3 B No. ' <br /> - x �-y-� <br /> City,Sfate,Z! +4a' """' ' <br />