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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3. A. rX <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• cejve�I by(Printed Name) C. lat. , very <br /> or on the front if space <br /> permits.ermits. C�11n�1b <br /> 1. Article Addressed to: ` D. Is delivery ad ress different from item 1? El Yes <br /> If YES,e"Mel <br /> slivery address below: ❑ No <br /> ell <br /> gut 2 <br /> 2?419 <br /> ` 3. Service FIN ❑Priority Mail Express@ <br /> ❑/Adult Signature /� r/(LI,Registered <br /> MailTm <br /> I I'IIII IIII I II I I I I I I I I IIII' I III I III CertifSignature Restricted Deliverygtered Mail Restricted <br /> ied Mil@ <br /> 9590 9402 3488 7275 7553 86 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery El Signature ConfirmationTM <br /> — _.Map ❑Signature Confirmation <br /> 7017 2400 0000 9205 5826 Nail Restricted Delivery Restricted Delivery <br /> ___ )0) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />