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�O 17v� V 4V F�M .(Z EN E PAID <br /> NOV2 19 <br /> R K� CO <br /> wmrosrares <br /> &63 v 7013 2250 0000 7021 4345 r-5E­CE1 A M Q U Rt <br /> 80203 R23038100807-05 <br /> SENDER: COMPLETE SECTION • • 1 DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X El Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> AW �2 If YES,enter delivery address below: 0-140 <br /> N: 1 c S c,�rt}- <br /> 12)1� Sherrnflr� S�. <br /> 5* 2.1 S <br /> �env-cR � �n2o3 <br /> 3. Service Type ❑Priority Mail Express© <br /> �I I If I I I I I f it i I I l I�I Ili ❑Adult Signature ❑Registered Mail R❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail© Delivery <br /> 9590 9402 1875 6104 1241 24 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation""' <br /> 2. Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> 7013 2250 0000 7021 4345 (over$500) <br /> l 5 FOYm UnI,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />