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S` S10N DFUVERY <br /> Mp <br /> p1V1S10ty OF N�SpFE1y • Complete items 1,2,and 3. A natu ❑ alit <br /> M1N1tyG p ■ Print your name and address on the reverse Agent <br /> so that we can return the card to you. l ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, a eceived by(Printed ame) C Date y(peaive <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Ai <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 111111111 Aduice lt �=-A ❑e 0 mdMail Resty Mail rited <br /> 9590 9402 4715 8344 2136 75 ❑ Mail Restricted ❑�Recelpt for <br /> ❑Collect on Delivery Mereha=c e <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation' <br /> — all ❑Signature Confirmation <br /> 7 019 1640 0001 9352 0183 ��aii Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 JE�Jm oestic Return Receipt I <br /> ! <br /> z <br />