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U.�-. Fv,�tal Service"' <br /> CERTIFIED MAIL@ RECEIPT <br /> Domestic Mail Only <br /> For delivery information,visit our website at www.uslos.coln <br /> - CeMlied Mail Fee �,7.-7q <br /> 3 T <br /> Extra Services&Fees icheck ba4 add lbe at <br /> ❑Retum Recelpt(hardwpy) $ <br /> E3 Retum Recelpt(electronic) $ Postmark <br /> 3 <br /> 3 E]Certified Mail Restricted Delivery $ Here <br /> 3 [:]Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ <br /> 3 Postage <br /> $ <br /> Total Postage and FA" <br /> 3 Sent To <br /> - -------------------------------- <br /> ,--o-- <br /> 3 . 4.111, <br /> or Z <br /> - i 4 tF&N <br /> ,.. --------------------- <br /> A <br /> PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions <br />