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(0 at n a rt <br /> ® C �J a ? °•' ® Complete items 1,2,and 3. A. ignature c �A enf <br /> �h, a *. 4 ® Print your name and address on the reverse X g <br /> co ® • - - ❑Address <br /> � — y � a � w m so that we can return the card to you. <br /> o ■® y�. m *�' B,.Received by(Printed Name) C.Date of eJive <br /> N ® a a co 0 ® Attach this card to the back of the mailpiece, r <br /> tv ® _ or on the front if space permits. <br /> co ,.C� 3 Q N 1. Article Addressed to:: f D. Is delivery address different from item 1? ❑Yes <br /> N a o5°ra 9 II tI,� E If YES,enter delivery address below: [3No <br /> CD °' a <br /> W X � ( ca <br /> 430 v �GO <br /> SD <br /> 11 II 3. Service Type ❑Priority Mali Express® <br /> II�'I'I�IIIIII'IIIIIIIIIII IIII IIIIfI'IIIIIIIII Adult Signature ❑Registered WHIM <br /> R <br /> ❑Adult Signature Restricted Delivery ❑Reggistered Mail estri <br /> 9590 9402 2890 7069 3748 27 ❑Cert fled Mail Restricted Delivery ❑Retam Receipt for <br /> ❑❑❑❑w Merchandise <br /> ❑Collect on Delivery <br /> N t7 r-W x e? • 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmatioi <br /> M co Insured Mail El Signature Confirmatioi <br /> m� �-k <br /> 7017 2400 0000 2455 0214 <br /> .. a 1 Insured Mail Restricted Delivery Restricted Delivery <br /> Q� <br /> ® � z � a� PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Recei <br /> g a � -- <br /> CL <br /> �+ <br /> O `� m a m ,,, • • LETE THIS SECTIONCO ON ON <br /> a� m •Q•rt ■ Complete items 1,2,and 3. A. Signature <br /> • M Print your name and address on the reverse ` Agent <br /> t 3 so that we can return the card to you. u- ` ❑Address <br /> K7 <br /> ❑ ❑❑❑ M. B R ceiv�d by(P nted ame) `.,D f D li <br /> ci pi b ■ Attach this card to the back of the mailpiece, tV` o' t <br /> g 0 or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address differs from Item 1? ❑Yes <br /> o.� q CL tin ❑❑-4 (D ❑ t �/�� t If YES,enter delivery address below: No <br /> a � CD <br /> II I lIIIII IIII III I I!Ii l�lll I II I I II I IN <br /> I I(II III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mailrm <br /> 0 Adult Signature Restricted Delivery 13 Registered Mail Restd( <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2890 7069 3747 80 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number ftransfer from service ia4ie0 ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> n 1­—ld Mall ❑Signature Confrmatior <br /> 7 017 2400 0000 2455 9627 id Mall Restricted Delivery Restricted Delivery <br /> $500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receil <br /> U <br />