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cc75 <br /> rn o I <br /> L (7 X <br /> L <br /> O -_ <br /> m a> Z <br /> C) <br /> CM <br /> �'E r,.nn • y <br /> VJ <br /> W�a <br /> a <br /> 93) <br /> LO <br /> 70 <br /> ru <br /> X - - <br /> Lo <br /> Vl P'll(�� <br /> ® hL.99 0922- 0000 0292 LTOL <br /> fiL99 ❑IRTL 0000 0292 L`tOL <br /> Y N <br /> • <br /> � ca <br /> ca <br /> ru CD <br /> ®Er W <br /> o <br /> ® 1-! <br /> -... ..n <br /> SENDER: COMPLETE THIS SECTION <br /> 1 <br /> 1 � <br /> COMPLETEI ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse e X ❑Agent <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. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> �X�1Tl�tl,� L1Y1K <br /> II I IIIIII IIII III III I i II III I I II III�I I l III ill 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MalITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mad® Delivery <br /> 9590 9402 3388 7227 4051 86 ❑Certified Mail Restricted Delivery Or Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- <br /> 0 Insured Mail ❑Signature Confirmation <br /> 7 017 2620 0000 7180 8674 Insured Mail Restricted Delivery Restricted Delivery <br /> - - - - -- - lover$500) <br /> PR Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1 <br />