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• A. Signat re '' Agent <br /> a <br /> ■ Complete items 1,2,and 3. /p [1 Addressee <br /> P nted Nam C. Date of Delivery <br /> ■ Print your name and address on the reverse B eived by'( <br /> so that we can return the card to you. g /� > � <br /> ■ Attach this card to the back of the mailpiece, Is delivery address di Brent from item 1? 0 Yes <br /> e <br /> or on the front if space permits. <br /> 1'—-Articjeer Addressed to:� <br /> If YES,enter delivery address below: ❑No <br /> W � <br /> 6-72,01 <br /> U) ` (`I ❑Priority Mail Express® <br /> i II'II III IIII�I III 3, $eNICe Type ❑Registered Mail I II I'III II III I I�I I' ❑Adult Signature p Regv d Mail Restricted <br /> II"I�I' ❑Adult Signature Restricted Delivery pefivoryery <br /> Wf Certified Mail® ❑Return Race <br /> for <br /> ❑Certified Mall Restricted Delivery re ConfirmationTl <br /> 9590 g403 0710 5196 2275 11 nr�LL'Q. - --=_ _ reco, tKon <br /> —_--- <br /> ad Delivery <br /> -_ <br /> 7 0 J vomesuc Return Receipt <br /> PS Fowl l.w r r,HNr n 4u r o r�ry r o3v-uz-uuu-auoo <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X - .V`� 0 Agent <br /> so that we can return the card to you. 91 Addressee <br /> ■ Attach this card to the back of the mailpiece, R"ilved by(TnN4 C. Date of Delivery <br /> or on the front if space permits. �j f��c '� ' -7, <br /> 1. Article Addressed to: 'As delivery address different from item 1? 0 Yes <br /> L If YES,enter delivery addre M.No <br /> et�x Ca�wf7.a�`� �rvy"1 01371��� <br /> q YYI3�P p tP 1 <br /> ��� t�ra-110we 1c <br /> cc�� Z y <br /> L.�. El�+b� <br /> III�IIIII IIII I'III I I I I I I III I'II��I II II II III ❑dul3. ice Type it Express@ <br /> lSignatureSignature Restricted Delivery a Ist rd Mail Restricted <br /> 9590 9403 0710 5196 2275 28 rt f Certified Med ail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Article Number Titan from service/aabe< ❑Collect on Delivery RestrictedDelivery ❑Signature ConfirmationTM <br /> `--urd Mail ❑Signature Confirmation <br /> 7 017 3380 0000 6892 5805 urd Mail Restricted Delivery Restricted Delivery <br /> er$500) <br /> :IS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> r <br /> ry l e (� , (e) �i�� <br />