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�lVy <br /> COMPLETESECTION . DELIVERY <br /> ■ Complete items 1,2,and 3, A Si <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, B. Received b fi W4;Varr}e) �teivery <br /> or on the front ff space permits. t (, r-� <br /> 1. Article Addressed to: D. Is del)ery addrass different from�l, 1? ❑ es <br /> _ r I n� ( i i I If YE enter delivery address bel3Z No <br /> TotII I IIIIII illl III I III I I I III III II II I II I I I I I II 3. Service � -, - ',-°Reg` eredd'Ma ® <br /> III ❑Adult Signature Restricted Delive"y ❑Registered Mall Restricted <br /> 19 Certified MOO Delivery <br /> 9590 9402 1217 5246 1940 04 ❑Certified Mail Restricted Delivery ❑Retum Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service/abet) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 015 1520 0000 9895 9591 0�" t"��Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-so53 -- -_ Domestic Return Receipt <br /> S. . , - <br /> CERTIFIED o <br /> RECEIPT <br /> r3 Domestic Mail • <br /> Er <br /> Ln <br /> Er _1 <br /> Er Certified Mad Fee <br /> Er— Extra Services&Fees(check box,add fee as appropriate) <br /> ❑Return Receipt(hardcoPY) <br /> `"Posfm�rk <br /> Return Race,pt(electronic) a--------' - Here " <br /> � ❑CertrLed Mml Restricted Dehvery S , <br /> OAdult Signature Required S _ <br /> Adult Signature Restricted 0e11rverY S <br /> p Postage <br /> ru $ <br /> U") Total Postage and Fees <br /> ra $ "l. a s <br /> 1 . . <br /> SentToT� t'vtj__ l '1-------------------------------------------- <br /> O Stre�tfandAg No,v Pb+6otc�14--------- <br /> Ulf, tate,ZI t4 a 1 <br />