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SENDER: COMPLETE 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 ❑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 O Yes <br /> I ►. ����� ; \C�`� (1 If YES,enter delivery address below: p No <br /> II I IIIIII IIII III I III I I I II I III I I II III IIII)I I III 3, Service Type O Priority Mail Express® <br /> ❑AdultSignature 0 Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail@ 9590 9402 3388 7227 4051 48 O Certified Mail Restricted Delivery ^gtReeltlum Recelptfor <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfinnationTM <br /> ❑Insured Mail " ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> • . Service" <br /> CERTIFIED MAILP RECEIPT <br /> C3 C3 C3 Domestic Mail Only <br /> CD c <br /> C3 C3 tO <br /> C 43 CD Certified Mail Fee �T <br /> e7 Extra Services&Fees In,eck box,add fe"s ate) <br /> 2 _ <br /> C3 C3 n Rece ehnipt Ihardcopy) $ <br /> C3 <br /> tM C3 Return Receipt(electronic) $ Postmark <br /> •. + C3 C3 ❑Certlied Mail Restrlcted Delivery $ Here <br /> 0 C3 t= C3 Adult Signature Raquirad $__ <br /> Adult Signature Restncted Delvery$ <br /> C3 Postage <br /> ru .� rU to <br /> ru ter... rU rU Total Postage and Fees <br /> $ <br /> rl- � Sent To <br /> C3 C3 C3 t---- ---------------{ <br /> I Straet and Apt No.or PO Box No <br /> Gry State.ZIP+4"" <br /> l <br /> M1 <br />