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•ER: COMPLETE THIS SECTIONCO ON ON . <br /> ■ Complete items 1.2.and 3. A. Si tune <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, !D�- ,:Is <br /> eceiv rinte e) C. Date f ivery I <br /> or on the front if space permits. <br /> 1. Article Addressed to: f delivery ress different from item 1? ❑ Yes <br /> ]�L^n �.�r f YES.ent delivery address below: ❑ No <br /> r-M A ^� I tJ(/T�l' <br /> C, �T <br /> III I IIIIII IfII III II II I I III III II I II III I I II I I I III 3 Service Type Priority Mail Express <br /> .I Adult Signature p Registered Mail- <br /> 1 Adult Signature Restricted Delivery :3 Re Mail Restricted <br /> 7 -1 Certified Madc) Delivery <br /> 9590 9401 0047 5071 7654 3 8 3 Certified Mail Restricted Delivery El Return Receipt for <br /> _ -.j Collect on Delivery Merchandise <br /> ?. Article Number(Transfer from service label) I Collect on Delivery Restricted Delivery ❑Signature Confirmation- <br /> — fail O Signature Confirmation <br /> 7020 1290 0001 2677 1656 flail Restricted Delivery Restricted Delivery <br /> -3-rvfm36TT.73�pn 15 PSN 7530-02-000-9053 Domestic Return Receipt <br /> SECTION�-ENDER: COMPLETE THIS •MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1. 2, and 3. A. Signature <br /> 0 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. R b rme Name) C. Date of Delivery} <br /> or on the front if space permits. ICl./ <br /> 1. Article Addressed to: D. Is delivery dress efferent from item es <br /> If YES,enter delivery address below. ❑ No <br /> Zy <br /> 3. Service Type L:Priority Mad Express(➢ <br /> Ilillllll IIII IIIlilll►III III II I II III II I I III III E CAdult Signature 0 ertified Maih> Registered Mail R <br /> F.Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9401 0047 5071 7654 21 1 Certified Mail Restricted Delivery C Return Receipt for <br /> C Collect on Delivery Merchandise <br /> Article Number(Transfer from service label) Collect on Delivery Restricted Delivery C Signature Confirmation— <br /> ` '^< Mail C Signature Confirmation <br /> 7020 1290 0001 2677 16 7 0 Aad Restricted Delivery Restricted Delivery <br /> 0) <br /> :IS Form 3811.April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />