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t <br /> t <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. dressee <br /> ■ Attach this card to the back of the mailpiece, ived by rinted ame) Ce Qf Delivery <br /> or on the front if space permits. 1 -7.3• P- <br /> 1. Article Addressed to: D. Is delivery address different from item 1?�es <br /> If YES,enter delivery address below: o <br /> The Guarantee Company of North America USA <br /> One Towne Square, Suite 1470 <br /> Southfield,MI 48076 <br /> 3. Service Type ❑Priority Mail Express® <br /> II IIIIII IIII III I II II II I I I I I I I I'II I I'lll'I III ❑Adult Signature ❑Registered Mail^" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted, <br /> I(Certified Maii® Delivery <br /> 9590 9402 2543 6306 1363 77 Certified Mail Restricted Delivery ❑Me�and Receipt for <br /> ❑Collect on Delivery <br /> 2. Article Number(transfer from service labeo ❑Collect on Delivery Restricted Delivery ❑Signature Confirmations" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2140 0000 2345 7950 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED aRECEIPT <br /> Domestic Mail Only <br /> ErX.T . <br /> Certified $0.460 <br /> �- tified r °�.��- <br /> m $ Postage: $3.350 <br /> ru O r. Certified Fee: $2.750 <br /> C3 ❑ Return Receiptehim ' I $ ? <br /> C3 Ocertift <br /> C3 ❑Ad,rcs� <br /> 0 6.56 <br /> ❑A"'S' Total Postage and Fees: <br /> C3 Postage <br /> ?' $ <br /> r f1J Total Postage and Fees <br /> $ <br /> —D Sent To <br /> C3 Siiwnari The Guarantee Company of North America USA <br /> r One Towne Square, Suite 1470 <br /> Southfield,MI 48076 <br />