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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. glek ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Recei by(Printed Name) C. Date f Delivery <br /> or on the front if space permits. l ) <br /> 1. Article Addressed to: (� D. Is delivery addfess diffeneriL from item 1? Yes <br /> ,0t-� f .I If YE;3,enter delivery a"s below: ❑ No <br /> 331t� t 31�1 �o 6 07V 0 030 <br /> co, <br /> �S Ira a� <br /> I'I I I'I IIII III( � IIII I IIII III 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature El Registered MaiIT'^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 4715 8344 2196 53 El Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery 0 Signature Confirmationrm <br /> 115 1730 0002 2005 1228 ❑Insured Mail ❑Signature Confirm-'!on <br /> ❑Insured Mail Restricted Delivery Restricted Deliv <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return <br />