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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signatur 1. <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• eceived by.(Printed//Name) C. atof v ry <br /> or on the front if space permits. 4e&W. � <br /> D. Is delivery add rom item 1? ❑Yes <br /> Mr. John Mays If YES,enter No <br /> Powertech(USA)Inc. <br /> P.0_Box 448 JUN 5 <br /> Edgemont,SD 57735 2�2� <br /> P-2007-015,P-2008-043 P. Hays DMS101V OF <br /> IftmAIA M"11441rq- <br /> 3. <br /> II i III III I I I I I I I I ( I I I I III III Service Type g ty ail Express® <br /> 11 <br /> ❑Adult Signature ❑Reggstered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 2543 6306 1128 38 11 <br /> 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 11 Signature ConfirmationTM <br /> ^Insured Mail ❑Signature Confirmation <br /> 70172400 0000 9119 2980 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />