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Postal <br /> CERTIFIED MAIL;' RECEIPT <br /> ..n .� Domestic Mail • <br /> c cc w <br /> C3 o <br /> � ` Er Er Certifed Mail Fee <br /> ca cc C u <br /> —0 dra Servioca&Fcss(cescrrbox,add fao a epprop;;zr) <br /> ❑Rctu:n R_calpt(herdc7pio) <br /> C3 C-3 i7 QReturn Rccelpt(cicotronic) 9 Postmark <br /> 0 C3 C3 C3C3 ❑r r ltlod M2;1 R iricicd DD!iv.ry $ Here <br /> C3 p O ❑Adult Sign atura Requ:ntd C <br /> r7 Adult Signature Rsotrictxd Dclivcry S <br /> C3 0 Q Postage <br /> CC CD <br /> M m m ia4nl Pc tago and Fc o <br /> J <br /> Sc t TO ^ <br /> I( ' <br /> C1 C) C3 Strt?a-and,,A Ali.,or7�13Boii Poi./ <br /> Sru�c z G <br /> COMPLETE • • ON-aELWERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X Agent <br /> so that we can return the card to you. / El 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. 1,54 "2e5� <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below. ❑No <br /> 2�Z �� <br /> II II�I'I I II I'I I I I IIIIII I I III II I I I'I) III III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature El Registered MajlTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3848 8032 7335 91 ❑Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑RetSm Receipt for <br /> - Collect on Delivery Merchandise <br /> 4 Q Q Q Q 6 8 9 2 6086 collect on Delivery Restricted Delivery Signature Con9rmation nA <br /> •7 1^� 3 3 8 0 nsumd Maii ❑Signature Confimtation <br /> i❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />