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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. <br /> ■ Print your name and address on the reverse X W <br /> ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• eiv (Prin d Name) C. Date of Delivery <br /> or on the front if space permits. ; <br /> 1. Article Ad reskecl to: D. Is delivery address different from item 17 ❑Yes <br /> l -k- w C If YES,enter delivery address below: ❑No <br /> "Z <br /> sfi ` z6(3 <br /> 3. <br /> ice Type El Priority Mail Express'& <br /> IIIII III II I II II " I I I( III III Mail- <br /> El Adult Signature Signature ign ture Restricted Delivery ❑Reglste d Mail Restricted <br /> 9590 9402 2381 6249 0515 93 ❑certified Mail© Delivery <br /> ❑Certified Mall Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- <br /> 2. Insured Mail ❑Signature Confirmation <br /> 7 019 2 9 7 7 5 9 0 5683 ❑insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> 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 X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Rec by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. Y <br /> 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> �lc�wu� s�rtsl Ca Bl�Oo1 <br /> I IIIII IIII II I IIIII II I I I I I I I IIIII 3. Service 0 Adult Signature 0 e 0 Priority <br /> ❑ Signature AdultRestricted Delivery ElRegistedlMail Restricted <br /> 9590 9402 2381 6249 05. 86 ❑certified Mtl® 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 ❑Signature Confirmation- <br /> 0 Insured Mail ❑Signature Confirmation <br /> 7019 2970 0000 7590 5676 ❑InsuredMall Restricted Delivery Restricted Delivery <br /> over 5500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />