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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 [3 Agent <br /> so that we can return the card to you. ❑addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes <br /> If YES,enter delivery address below: p No <br /> -7`I 4 d-,"e.57-e40 Ro <br /> Ankvz) 013 � <br /> II I IIIIII III III I III II I I I I II II I I I I III III( III' 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mail*"" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Delive <br /> 9590 9402 5506 9249 0535 96 ❑Certified Mail estricted Delivery ❑Retu n Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirnatlonT <br /> ❑Insured Mail ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />