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COMPLETES SECTION COMPLETE THIS SECTION ON DELIVERY <br /> A Signs Agent <br /> ■ Complete items 1,2,and 3. <br /> ■ Print your name and address on the reverse x Addressee <br /> RECEIVE so that we can return the card to you. B R Ned 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 /> MAY 19 201 1. Article Addressed to: D. If YES enterrddelivery address below:11 0 No <br /> D�P�' a <br /> 7rart5 orlQfihIn <br /> Division of RM9090i <br /> �rA' S <br /> o Priority MWI Express® <br /> 0 Adult Signature 3. Service Type p Registered Mail- <br /> Adult Signature Restricted Delivery 0 Regi Mal Restricted <br /> II�lIIIII IIII IiIIIIIII�III III IIII1 I III IIII I'I� ❑CCt Certified M�Restricted Delivery Return for <br /> 9590 9402 1217 5246 1941 10 o coollect on llect on Delivery Restricted Deliveryvery S gnature Coniirt;Signature ionTM <br /> 2: Article Number(transfer from service label) Ylau Restricted Delivery <br /> VAail Restricted Delivery <br /> 7015 1520 0000 9895 9607 w <br /> Domestic Return Receipt <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> •w <br /> rr fit' Al <br /> in ���Mail Fee <br /> IT, d tee as aPproPriate) 0 S <br /> Lr Extra Services&Fees(check box, $ <br /> Receipt(iardcoDYl \�Q` ttere <br /> �Return S-Q i3 Return Receipt lelectronwl $ -�. •� ('Y,, <br /> ed ery <br /> Q i3 certified Mrvl Restrict Deliv $ <br /> C3 0 Adult SWeture ReC IW�,$ <br /> Adult Signature Restricted Da <br /> very <br /> Postage <br /> r1.1 $ and Fees j j t� ✓�1/ C <br /> n -Total postage <br /> s r 7 5_�1Er i7.—ign-------------- <br /> Ln Sent Toe (a e QT_ 1 r�� <br /> a _ e.� <br /> � - b Box No. '-'--'- <br /> O -- <br /> 1"`- - J <br /> State, <br /> r <br />