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■Ensure items 1,2,and 3 are completed, A.Si�rta ura (❑n .essee nr <br /> ■Attach this card to the back of the mailpiece,or on X B ��R CO <br /> the front if space permits. <br /> B.Received By,(P.mtao Nam, C.D e o slivery PM 6 L <br /> ]/�u f <br /> 1.Article Addressed to. 1 t w } <br /> D Is delive address different from Item 17 <br /> _ H YES,enter delivery address below Yes <br /> No <br /> 3.Service Type <br /> �I <br /> 9"J 9118 JOGS 3639 2206 76 <br /> 2.Article My <br /> 9�1 label) <br /> PS Form 3811 Facsimile,July 2015(SDC 3930) <br /> Domestic Return Receipt <br />