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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 P <br /> Agent <br /> so that we can return the card to you. ressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printe arne) C. ate of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> tOp Ivr6Tf"iG <br /> z Z coo aly Z-i(- <br /> F� Y� co go$!s <br /> 3.I'III' III i�IIIiIII I IIIII I IIII IIIII�II ❑ ssO- <br /> dullvice Signture e ❑RegisteedMall Mail Tm <br /> f ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 5704 9346 1106 66 ❑Certified Mai10 Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 Article Nutrtber(Transfer from Service label) _ ❑Collect on Delivery Pestricted Delivery ❑Signature ConfirmationT"t <br /> - "`sured Mal ❑Signature Confirmation <br /> 7 019 11340 0002 3130 1460 cured Mail Restricted Delivery Restricted Delivery <br /> er$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> 1 CERTIFIED o RECEIPT <br /> o Domestic <br /> o <br /> fTl 7IMail <br /> r� Certified <br /> ,3.55 <br /> I11 II <br /> f c rTl Extra Services&Fees( j12check box,add fee a'eb )i/r7te) <br /> ❑Return Receipt(hardcopy) $ j I,III I <br /> r U ❑Return Receipt(electronic) $ 1�1 I tl 1 Postmark <br /> E3 ❑CertiFled Mail Restricted Delivery 5 i tr,} - Here <br /> o ..44,:— <br /> ❑Adult Signature Required $ <br /> []Adult Signature Restricted Delivery$ <br /> Postage <br /> $ <br /> Total Postage and Fees 0-7/j fj/202I I <br /> $ u <br /> D^ Sent T <br /> r� <br /> O treat and Apt.No.,or PO Box P(o. <br /> rti <br /> ---------------------------------------------------------------------- <br /> Ciry State,ZIP+4® <br /> •r t rrr•� <br />