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COMPLETE •N COMPLETE THIS SECTIONON - <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X n � ❑Agent <br /> so that we can return the card to you. •� v' ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Receivedd by(Printed Name) C. Datei 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 /> (o KW S� <br /> 1 boa u c4')K1 S <br /> II I III' III II I II I I I I I I I I I II I(III)I I 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec <br /> 9590 9402 5603 9274 6344 03 0 Certified Mail® 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 /> ❑Insured Mail ❑Signature Confirmation <br /> 019 0700 0000 Q 215 8433 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br />-P3-F-0rm-6811, u y 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />