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M: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> plate items 1,2,and 3. A. Signature <br /> your name and address on the reverse X El Agent <br /> at we can return the card to you. ❑Addressee n `r <br /> h this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> the front if space permits. <br /> _ f <br /> i Addressed to: D. Is delivery address different from item 1? ❑Yes n < <br /> V^C If YES,enter delivery address below: ❑No V� <br /> c�A f <br />� �1~�4Mr•� 5�, f �06 M�1�j <br /> Co <br /> III 11 IIIIIII II III I I I 3, Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mail- <br /> 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> i90 9402 5402 9189 1668 25 /v` ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery El Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) _ <br /> 13811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt i <br /> �-- C3 _. <br /> _ <br /> E3 <br /> Z117 <br /> .i <br /> m <br /> O - <br /> ro �mroc�in <br />