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:-SENDER: COP110LETE 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 fgAgent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. at of Delivery <br /> or on the front if space permits. �lr <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> IIIIII IIII III I I I I I I i I III II IIIIIIIII I I III I I #AduINSignature e Restricted D 0 Registered elivery ❑Registered Mice Type El Priority Mail ail Restricted <br /> 9590 9403 0706 5196 4877 21 ❑Certified Mail(D Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> Collect on Delivery Restricted Delivery Signature Confirmation- <br /> 0 Signature Confirmation <br /> 7 015 0640 0003 3928 9742 it Restricted Delivery Restricted Delivery <br /> PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> �Ce isst-Class Mail <br /> UNITED STATE$;PIJ4lAqiSgRfi(Mittlitillili'll�l 'I' 'f 1� � �0 age&Fees Paid <br /> Q.. <br /> _e d`'�lo. G-10 <br /> rz <br /> • Sender: Please print your name, address, an +4®in ox• <br /> CID 41x � <br /> Ca�.iJ.�S • I � �C�O� — �17�'� <br /> USPS TRACKING# <br /> • j�..i.;ij�sti�.i.i�. r. I ;:��.:•i <br /> :i :r 6 <br /> :I :! �� :E:�t'ilPI.I � i:i�s`' �ifil 1 <br /> I' ti i i ii :lf1i'1 ! !Et : <br /> 9590 9403 dl �6�51�9�, <br />