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COMPLETE • DELIVERY <br /> ■ Complete items 1,2,and 3. A. SIPWAT <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, Received by(Printed e) C. Date of Delivery <br /> or on the front if space permits. A Do <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> 150 C I4,/TEA/ if YES,enter delivery address below: ❑No <br /> 1303C <br /> (I I'lll' IIII I'I I(I III II(I'I'II�II I I I' I I'II 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature El Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricte< <br /> 9590 9402 4401 8248 9097 80 [3 Certified Mail estricted Delivery ❑RReetum Receipt for <br /> ❑Go]act on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"m <br /> Mail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 5029 Mail Restricted Delivery Restricted Delivery <br /> ,.,.o,Wao> <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />