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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. w Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, CC <br /> or on the front if space permits. P <br /> D. Is delivery address different from item 1? El Yes <br /> 1. Article Addressed to: If YES,En ❑ No <br /> ` wad �aG" T <br /> N 0 6QtA <br /> 3. ServiMVWM OF RECLAMATION <br /> CO ��N 1*er?ifie ANDt4SM Express- <br /> p' J� � � S f ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number(transfer from service label) 7 014 2120 0001 7871 1189 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />