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NDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY COMPLETE THIS DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> A. Signature <br /> Complete items 1,2,and 3. A. Signature + ■ Complete items 1,2,and 3. <br /> Print your name and address on the reverse X Agenessee ■ Print your name and address on the reverse X � ❑Agent e <br /> so that we can return the card to you. so that we can return the card to you. <br /> B. Recepv by(Prrn ed N e) C. Date o Delivery B. Received by(Printed Name) C. Date f D live) <br /> Attach this card to the back of the mailpiece, ■ Attach this card to the back of the mailpiece, P <br /> or on the front if space permits. A or on the front if space permits. (t j++----N I S/ i- ).-( <br /> Article Addressed to: D. Is delivery address different from item I. ❑Y 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> 'r if YES,enter delivery address below: [I No / If YES,enter delivery address below: R No <br /> Sr — G(�j U C��W�lLitr�� <br /> G-rz" (�ku{�� co �s� c+l cv, , C� a. <br /> II 3. Service Type 0 Priority Mail Express® 3. Service Type 0 Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MailTM ❑Ad. <br /> lt Signature ❑Registered Mall <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted II I'II' ICI I I I I I 'IIIIII ' I ❑Adult Signature Restricted Delivery ❑Registered MailTRestric <br /> Certified Mail® Delivery Certified Mail® Delivery <br /> 9590 9402 4715 8344 2082 68 ertified Mail Restricted Delivery ❑Return Receipt for 9590 9402 4715 8344 2082 99 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery ❑Collect on Delivery Merchandise Merchandise <br /> ❑Collect on Delivery Restricted Delivery 0 Signature Confirmatior ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation <br /> Article Number(Transfer from service label) 2. Article Number(Transfer from service label ry ry <br /> Insured Mail ❑Signature Confirmatlo � ) "1 Insured Mail ❑Signature Confirmation <br /> 019 1640 0001 9352 8844 dnsured Mall Restricted Delivery Restricted Delivery 7 019 1640 0001 9352 8943 I Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) over$500) <br /> Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Race Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receif <br /> i <br /> �DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> A. Signature A. Signature <br /> ,omplete items 1,2,and 3. ■ Complete items 1,2,and 3. <br /> ?rint your name and address on the reverse X ' q C --A--2) (' I � ❑Agent ■ Print your name and address on the reverse X Agent <br /> J <br /> 3o that we can return the card to you. ❑Addressee so that we can return the card to you. ❑Addresse <br /> O,tB. Receive y(Printed Name) C. Date of Delivery B. Received by(Printed Name) C. Date of Delivei <br /> Dr on this card#o the back it the mailpiece, ■ Attach this card to the back of the mailpiece, <br /> cr on the front if space permits. ei - `�— 2.1 or on the front if space permits. 9 I C <br /> 4rticle Addressed to: D. is delivery address different m item 1? ❑Yes 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: `UNo if YES,enter delivery address below: R No <br /> ,Co <br /> 3. pe Service Ty ❑Priority Mail Express® 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MailTM O Adult Signature ❑Registered MaIITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 1I IN I'I I I Ii I( � III 0 Adult Signature Restricted Delivery ❑Registered Mail Restric <br /> Certified Mail@ Delivery Certified Mail® Delivery <br /> 9590 9402 4715 8344 2083 05 ertified Mail Restricted Delivery ❑Return Receipt for 9590 9402 4715 8344 2082 82 0 Certified Mail Restricted Delivery El Return Receipt for <br /> ❑Collect on Delivery Merchandise 0 Collect on Delivery Merchandise <br /> O Collect on Delivery Restricted Delivery Signature Confirmation ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation <br /> Article Number(transfer from service label) ❑Signature Confirmation 2. Article Number(Transfer from service label) <br /> —Insured Mail 9 ❑Insured Mail El Signature Confirm <br /> 119 1640 0001 9352 8868 Insured Mail Restricted Delivery Restricted Delivery ?019 1640 0001 9352 8851 El Insured Mail Restricted Delivery Restricted Deliv <br /> (over$500) (over$500) _ <br /> Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Re+l•% leceiF <br />