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•o - <br /> CERTIFIED o RECEIPT <br /> ti Domestic Mail Only <br /> Cr <br /> Er <br /> `0 FAI RPLAY Y CC 80440• _— <br /> -- <br /> Certified Mail Feeee <br /> cc <br /> J _1:1 w <br /> - ri Extra Services R Fees(check box,add lee ate) <br /> ❑Return Receipt(he copy) $ O <br /> r- ❑Return Receipt(electronic) $ $0 ►0 Pdfpark <br /> ---- ----_—"--" -_ - C3 ❑Certified Mall Restricted Delivery $ $0 �— C -- <br /> C3 ❑Adult Signature Required $�!_21s�— �� CID <br /> ❑Adult Signature Restricted Delivery$ <br /> — C3 Postage <br /> $13.55 <br /> -- YI Total Postage and Fees 02/1�7Z02� <br /> m $ $6.95 <br /> Sent To <br /> '_o_ieA �r�� an c,r 1D IS�fl <br /> C3 Street and Apt.No., r PC7 Box No. <br /> ----------- ----------- --------------- <br /> !� ;?Pt ---------------------------------- <br /> ------------------ <br /> City,Stafe,ZIP+4i-- C <br /> aEr L'c U U IN <br /> COMPLETE THIS •N COMPLETE THIS SErTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Si re <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. "X�7 ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, elved inte Nam �eli <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is deli address different from item 1? ❑ Yes <br /> If YES,enter delivery address below: ❑ No <br /> Pat - )?"ef bls4r�c�t <br /> Po. � zl9 <br /> II 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MaiIT'" <br /> I IIIII)IN III 111111111111 <br /> IIIIIIIIIII IN III I'I II IIII <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 4821 9032 9696 83 ertified Mail@ Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation"" <br /> n In—rorl Mail ❑Signature Confirmation <br /> 0a)il Restricted Delivery Restricted Delivery <br /> 7 016 3560 0001 1886 6992 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> I <br />