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O \J <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON 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. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• eived by(Printed Name) C. Date of Delivery <br /> _ or on the front if space permits. <br /> 1. Article Addressed to: D. is delivery address different from item 17 ❑Yes <br /> II YES,enter delivery address below: El No <br /> I t 9 -3 (,t 1(d �u.t.�y rr,( q <br /> Co <br /> 3 Service Type 0 Priority Mail ExpressO <br /> II I Illltl I II ICI I II I IIIfI I II III II I I I!I II II I III ❑AAdult SJuI Si Signature Restricted Delivery ❑Maia Registered Mail Restricted <br /> ive <br /> 9590 9402 2053 6132 7826 58 0 Certified Mail Restricted Delivery ❑Return Receipt for <br /> _ ❑Collect on Delivery Merchandise <br /> 2 Article Number(Transfer from service labe/) ❑Collect on Delivery Restricted DeWery 0 Signature Confirmation'"" <br /> ed Mail 0 Signature Confirmation <br /> 7 014 2120 0001 7 8 8 5 6194 ed Mail Restricted Delivery Restricted Delivery <br /> $s00) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> DomesticCERTIFIED MAILP RECEIPT <br /> Postage. L; C1 <br /> pNCE 460`�Certified Fee: . 50 <br /> C3 Return Receipt F $ j50o (Er o C3 cEr Total Postage and6.56 <br /> ru ' <br /> r q Total Postage&Fees <br /> ru <br /> Sent To <br /> ra -. __ 4.._1QRLs►J_.... <br /> o or <br /> r-- --POBoxNo. <br /> City,stare,ZIP+4 <br /> Co <br /> PS Form :.. <br />