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■ FrInt your <br /> (tams 1,2,and 3, X Slgrfature <br /> ,Print your name and address on the reverse C]Agent <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailplepe, Melved b rfnte me} C.Date of Delivery <br /> or on the front If space permits. (I <br /> 1. Article Addressed tto�_: D. Is delivery address different tom Item 17 1�Yes <br /> "C' gl ckoc� V ( If YES,enter delivery address below: p No <br /> " <br /> bc%j,d {Y ,f tCf C <br /> S�v ::tnds-1 <br /> 3. Service Type ❑Priority Mail Express® <br /> 1111111111 Jill Itf I1II II�III Il All l l l l l d Adult Signature ❑Registered Mail <br /> It ft I I ❑Adult Signature Restricted Delivery ❑ R Re Mat!Restricted <br /> i>3Certified Mell® Delivery <br /> 9590 9402 2139 6132 6324 81 0 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2, Article Number(77ansferflom service fabeQ 0 Collect on Delivery Restricted Delivery 11 SignatureConflrmattonrM❑Insured Mail 0 Signature Confirmation <br /> oveissoo)il Restricted Delivery Restricted Delivery <br /> 7 Q 14 0150 0000 9868 2733 <br /> PS Form 3811,July 2016 PSN 7530-02-000-9053 Domestic Return Receipt <br /> i <br /> 1 <br /> i <br /> i <br /> 1 <br /> I <br /> i <br /> 1 <br /> 3 <br /> i <br /> 3 <br />