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postal <br /> o . <br /> ca I Domestic Mail Only <br /> i••E. >9'``s• is ."@.. s ,��. � � "t �. •1 m <br /> - <br /> ru Certffled Mail Fee <br /> $ <br /> Extra ervice9&Fees(check Dox,a$d fee as appropnareJ <br /> O ❑Retimi Receipt Rwdoopy) Postmark <br /> 0 ❑Return Receipt(ele >L $ Here <br /> ctrm <br /> C3 ❑certified Mall Restricted Delivery $ <br /> r3 ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted DeftwY$ <br /> C3 Postage <br /> tti <br /> Q $ <br /> rU Total Postage and Fees <br /> Er $ 5u�Face <br /> Sent TO <br /> o - I <br /> � Stieei r. or X <br /> _ _' z_ ,c <br /> ------------------------ <br /> City$fate, +4+-- (� /��'7 <br /> ---------- <br /> COMPLETE THIS SECTIONON DELIVERY <br /> SENDER: COMPLETEr <br /> A. Signature <br /> ■ Complete items 1,2,and 3. t ❑Apent <br /> ■ Print your name and address on the reverse X i Lt i �1' > '®Addressee <br /> so that we can return the card to you. +` <br /> B. Received by(P{fnted Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, 4 <br /> I �` -1 <br /> or on the front if space permits. �,�t _ 1 1C <br /> 1. Article Addressed to: D. Is delivery address different from Item 1? Yes <br /> OL FA« if YES,enter delivery address below: ❑No <br /> ('�e-wR-te,4 c o �7 <br /> jj99 t 1111 !II 11 (Ifii 3. Service Type 0 Priority Mail Express <br /> ❑Adult Signature ❑Registered Mall <br /> ❑Adult Signature Restricted Delivery ❑ e�st�ed Mall Restrict <br /> Certified Made Return Receipt for <br /> 9590 9402 5439 9189 5023 99 ❑Coiled n Delivery Dl l�Delivery Merchandise <br /> p Coiled on Dalivery Restricted Delivery0 Signature Confirmation' <br /> 2. Article Number(frarlsfer from service ) Insured Mail ❑Signature Confirmation <br /> Insured Mail Restricted Delivery Restricted L)elivery <br /> 701,9 2970 0000 4427 7780 i��,$�� - <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receip <br /> Postal <br /> CERTIFIED a RECEIPT <br /> Domestic Mail Only <br /> N <br /> ru Certified Mail Fee a \ <br /> ces& ees(check box.edd fee es app <br /> >] ❑Retum Receipt(hardoopY) <br /> ❑Return Recept(electronic) $ Postmark <br /> C3Here <br /> I_ Return <br /> Mali Restricted Delivery $ <br /> C3 ❑Adult Sgnature Required $ <br /> ❑Adult Signature Restncted DeWVY$ <br /> C3 Postage (, <br /> NTotal Postage and Fees <br /> $r Sent To l � 5 j i2 n�i4 <br /> - <br /> � - <br /> P- <br /> 1i Mate,ZIP+4 �1" /1D r S► <br /> C- <br />