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COMPLETE1N COMPLETE THIS SECTIONON 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 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> C 1/� l Y ✓T �1����p6� <br /> cicz(ey RECgjvLq0 <br /> 3.I I III I III III I II I II I I III 'I III III Adult Signature 0 Priority❑Reg <br /> vice e JUL 16 2` istered1MailpTMess® <br /> El <br /> ❑Adult Si R stricted Delivery [I Registered Mail Restricted <br /> �(Certified�+���j e�- Delivery 9590 9402 2543 6306 1146 03 ❑Certified Mai �' .�p Return Receipt for <br /> ❑Collect on De iv Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery l Signature Confirmation <br /> T^ <br /> Insured Mail El Signature Confirmation <br /> 7 018 2290 0001 8923 6965 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />