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COMPLETE SECTION • - • r <br /> A. Signature <br /> t Complete items 1,2,and 3. `� i <br /> ■ Print your name and address on the reverse X 7 Z 0 Agent i <br /> so that we can return the card to you. O Addressee , <br /> ■ Attach this card to the back of the iriallplece, 1. Reuel rr d Name) 0. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D.Is delivery address different from item 1? 0 Yes l <br /> If YES,enter delivery address below: ❑No l <br /> I Z a w of L�.tS otil �V e <br /> pb i3-0) 3 tlo l <br /> l <br /> C-j 1 <br /> I ■■1 �4 l t 3��I�III�I����III I III II II I II IIIi I lI I IIIN I`I[Il III 3 Service Type 0 Priority M ail Exp re sso <br /> O Adult Signature ❑Registered MaIFM <br /> n Adult Signature Restricted Delivery O DRggvistered Mat Restrict <br /> ed <br /> nrd Mall® ery <br /> eee9590 9402 43018190 8220 91 3d iI Mail Restricted Deli Q Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> O Collect an Delivery Restricted Delivery 0 lin <br /> Signature Connallon— i <br /> 2. Article Number(transfer from service labe0 0 Signature ContlnaaQon <br /> 7 018 3 0 9 0 0 0 0 0 8148 8140 n�Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 20f 5 PSN 7530 02-000 9053 Domestic Return Receipt <br />