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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> c IAgent <br /> ■ Print your name and address on the reverse dd <br /> so that we can return the card to you. X ' 1 r � Addressee <br /> ■ Attach this card to the back of the mailplece, B. Received by(Printed Name) C. Date of Delivify <br /> or on the front if space permits. 7 ` f <br /> -- <br /> 1. Article Addressed to: D. Is deliveryWdress different from item 11 [7,Yes <br /> If YES,enter delivery address below: No <br /> tl) U <br /> ( WSION OF RECLAMATION <br /> I I IIIII (III II I I( III II I IIIIIII I I III)II III 3. Service Type ❑Priority Mail I xpTress® <br /> ❑Adult Signature ❑Registered Mal <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec <br /> 9590 9402 4401 8248 9003 50emfied Mail® Delivery <br /> Certified Mail Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Articic Kh—h—lr f ,s... n rMect on Delivery Restricted Delivery ❑Signature ConfimtationTm <br /> 7 017 2400 0000 9119 2591 ,rea MMaill ai ❑Signature Confirmation <br /> ued Restricted Delivery Restricted Delivery <br /> $500 <br /> PS Form 3811.JuIV 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />