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(DomesticU.S. Postal Service,. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> CERTIFIED <br /> , RECEIPT <br /> Only; ■ Complete items 1,2, and 3.Also complete Zign ature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> u1 ■ Print your name and address on the reverse �ti •� a ❑Addressee <br /> `c a •r c q :. - so that we can return the card to you. eceived by anted a e) C. Date of Delivery <br /> f ' r'Et � '' glii`{=r ° ■ Attach this card to the back of the mailpiece, p,Y>f er1 �o - Z <br /> C13 lUl Ir, or on the front if space permits. <br /> Posat i3 <br /> ! D. Is delivery address different from item 1? El Yes <br /> .� c la <br /> - 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Certified Fee <br /> O ,'. Postmark C1.0 1•as . <br /> C3 Return Receipt Fee <br /> CI (Endorsement Required) i.!i!^i Here P Q ,6 d x /g'C/ 1111111111111 I II I II I II I II I I I I II 111111111111111 <br /> C3 Restricted Delivery Fee 116.66 <br /> (D <br /> (Endorsement Required) ( <br /> C3 <br /> _p Total Postage&Fees $ 1113 j 21_1/2j_li 3. Service Type <br /> 2tCertified Mail® ❑Priority Mail Express" <br /> Sent To ❑Registered ❑Return Receipt for Merchandise <br /> rl1 G'�r,L,� of /f ------- ❑Insured Mail ❑Collect on Delivery <br /> r Sfreet, pt.No. <br /> —1 d"T--- - - - •----- -- ;� <br /> or PO Box No. f y6fj 4. Restricted Delivery. (Extra Fee) ❑Yes <br /> 1` — ------------------------------- o <br /> City,State,ZIP+4 2. Article Number <br /> s sgfo (Transfer from sen4ce Iabeo 7 012 1640 0000 6687 8509 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />