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SENDER: COMpLM TkjjS SECTION ON DELIVERY <br /> SECTION <br /> a Complete items 1,2,and 3. F <br /> ' ❑Agent <br /> Print your name and address on the reverse }( r Addressee <br /> so that we can return the card to you. Printed Name) C. Date of Delivery <br /> Attach this card to the back of the mailpiece, <br /> or on the front'tf space permits.Addressed to: ress different from item 1?'O Yes <br /> j It YES,enter delivery address below: ?No <br /> �L} <br /> I',I'I'i'II��)I�IIIII�I�Ifl'I�II�'II�I����, �'I 3. Service Type ❑Regitrity read ail" <br /> xpresse <br /> ❑Adult Signature ❑Registered MadT" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> XCertified MaM <br /> 9590 9402 4301 8190 8220 84 ❑Certified Maii Restricted Delivery 0 Return <br /> eipt for <br /> 0 Collect on Delivery D Sgnatwe Confirmation" <br /> t Delivery Restricted Delivery laill 0 Sgnalure Conmo firLon <br /> 7 018 3090 000 0 814 8 813 3 ,ail Restricted Delivery Restricted Delivery <br /> 1 (over 5500) <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />