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Certified Mail Receipts <br /> COMPLETE <br /> COMPLETE <br /> ■ Complete items 1,2,and 3. red <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. ❑Agent <br /> ■ Attach this card to the back of the mailpiece, rinted Name El Addressee <br /> ) C. Date of Delivery <br /> _ or on the front if space permits. J� �J <br /> 1 Article Addressed to: — /—5 / <br /> ss different from Rem 1? ❑Yes <br /> 'K 1�`` -1 �� livery address below: ❑ No <br /> 'RT� <br /> 2- <br /> P.D. ZaK 2 S g6 <br /> II I�III'I I II ICI I II I IIIII i II III II I I III I I I II III Aice <br /> tlWryS gnature Res,. L Registered Ma Pn'�s� <br /> 9590 9402 2053 6132 7826 27 S ^�a0� Restricted <br /> Certified Mail Restricted L.,.,,; <br /> __ ❑Collect on Delivery Pnercnandise <br /> 2�Article Number(transfer from service label) C Collect on Delivery Restricted Delivery C Signature Confirmation- <br /> 7014 2120 0001 7885 6187 9 Mail E Signature Confirmation <br /> i Mail Restricted Delivery Restricted Delivery <br /> PS Form 3$11,July 2015 PSN 7530-02-000-9053 Seel <br /> Domestic Retul n Receipt <br /> Postal <br /> CERTIFIED © RECEIPT <br /> fti Domestic <br /> CO <br /> r-� For delivery information,visit our website at www.usps.com*. <br /> u'1 <br /> cc Postage: <br /> co $0.460 <br /> r- ( Certified Fee: $3.350 <br /> ra Return Receipt Fee: $2.750 <br /> O Return <br /> O (Ertdomeme <br /> C3 (� Total Prneostage and Feed J��-9 6.56 <br /> ti <br /> ra Total Postage&Fees <br /> rU <br /> Sent o <br /> or Sveef&ifpt Fk.. �.5------------------------------------------- <br /> r- or PO Box Aid.--- 9� 2 .,Q_ t�_ ?�-A 0.l- ---------------------- <br /> cfi;stems,ztP+a- <br /> PS Form 3800,July <br /> - 2 <br /> t nfi � 3as� <br /> 2014 <br />