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CO ON • • ON <br /> ■ Complete items 1,2, 3. Signature O Z0 <br /> ■ Print your name and a dress on the reverse X to ��' , - <br /> so that we can return s card to you. e7 A <br /> )Msee <br /> ■ Attach this card to the track of the mailpiece, B. Received by Na C. Date o (er ery <br /> or on the front if spac permits. $S a <br /> 1. Article Addressed to: �' D. is delivery address different fro s <br /> If YES,enter delivery address below: No <br /> 6x Z V <br /> 'V" <br /> II'�III'I I II I'I I III I)II�III I�I I'I'II'II I'I'l) 3. Service Type ❑Priority Mail Express® <br /> I ❑Adult Signature ❑Registered Mail^" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 5244 9122 8296 17 ❑Certified Mail RestrictedDelivery ❑� Ramat for <br /> ❑Collect on Delivery Merchandise <br /> 2._Article Number(Transfer fADm service/abed ❑Collect on Delivery Restricted Delivery ❑Signature ConfinnafionT* <br /> ensured Mail ❑Signature Confirmation <br /> 7019 0700 000 7 6 21 4 5 3 0M�Restricted Delivery Restricted Delivery <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Retum Receipt <br />