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Certified Mail Receipts <br /> SENDER: 10 <br /> DELIVERY <br /> ■ Complete items 1,2,and 3. A. S' nature 1 QAgent <br /> / <br /> ■ Print your name and address on the reverse \ <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mallpiece, ecei ied by(Printer(Nam C. D too Delivery <br /> _ or on the front if space permits. _ (�/G� � ? f <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑ es <br /> ��M� � If YES,enter delivery address below. ❑ No <br /> An3�� <br /> Cry�nl� Crcc►�� GL <br /> I" <br /> . f <br /> I I I I II III I I I II I IIIII I I III I I I I II II I I III 3. SerAdult g Type o Registered <br /> Mad Express <br /> ❑Adrift Signature ❑Registered fdailTM' <br /> Ad�It Signature Restricted Delivery ❑Registered Mail Restricted <br /> ;Certified Mails Delivery <br /> 9590 9402 2053 6132 7826 65 ❑Certified Mad Restricted Delivery 0 Return Receipt for <br /> _ _ _ ❑Collect on Delivery Merchandise <br /> 2 Article Number[7ansfer from service label) G Collect on Delivery Restricted Delivery ❑Signature Confirmation^" <br /> n trim irui Mad ❑Signature Confirmation <br /> 7 014 2120 0001 7885 6163 00 Restricted Delivery Restricted Delivery <br /> PS Form 3811 July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAIL" RECEIPT <br /> m Domestic Mail Only <br /> a For delivery <br /> G�information, <br /> F9C AL Uj� [ <br /> Ln <br /> co <br /> Postage: ;'=� <br /> ,a $3. <br /> Certified Fee: <br /> � <br /> C3 Return Receipt Fee: ` $2,75 �. <br /> C3 �6�p <br /> l <br /> 0 <br /> Total Postage and Fee $ -ru r� <br /> q Total Postage&Fees $ [, �� <br /> r / <br /> r1J <br /> Sent To <br /> � <br /> S"- - .k�h—�. ------------------------------- <br /> sareer s ayd Flo:," <br /> t= or Po Box No. 7 , <br /> r` ----------Stste,--iP+a ` �� ---------------------------------- <br /> Cr <br />