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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A ature <br /> ■ Print your name and address on the reverse �1/] IA(Agent <br /> so that we can return the card to you. t, ❑Addressee <br /> ■ Attach this card to the back of the mallplece, B• R ived by(Printed Name) C. D to of livery <br /> or on the front if space permits. � � _ 1r <br /> 1. Article Addressed to: D. is delivery address different from Item 17 Ye <br /> 1 t If YES,enter delivery address below: Po <br /> 1/ <br /> �sos �_ Tor�Kse�•��- <br /> AoK�'ro�c� cry <br /> II I IIII�III III I IIII III IN <br /> I I 11111111111111111111 <br /> I I I I11II I I I I I II I III 3. Service Type ❑Priority Mall Express® <br /> �I ❑Adult Signature ❑Registered Mad*■ <br /> ❑Adult Signature Restricted Delivery ❑Re <br /> stared Mali Restricted <br /> i 9590 9402 5792 0034 6100 05 rl Certified O Certified Mall Restricted Delivery ❑Return Receipt for <br /> D Collect on Delivery Merchandise <br /> 2. Article Number frransfer from service labell O Collect on Delivery Restricted Delivery C1 Signature Conflrmatlon- <br /> 020 2450 0000 2901 0866 I Insured Mail Restricted Delivery Restricted Confirmation <br /> Restricted Delivery <br /> (over$5001 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> SENDER: COMPLETE SECTION . ITE THIS SECTION ON DELIVERY <br /> .■ <br /> ■ Complete Items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. _ _ 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, 6, el old b, '(Pr ,red Name) C� 's livery <br /> or on the front If space permits. --� G�aA� ...__ .77 <br /> 1. Article Addressed to: D. Is delivery address different from Item 1? ❑Y <br /> OfxfAy ('Cu.ik If YES,enter delivery address below: ❑No <br /> �V <br /> PO Box C_ <br /> (I IIIIIII(III IIIIIIII III IIII II IIIIIII III I II III 3. Service Type ❑Priority Express® <br /> Regis <br /> ❑Adult Signature ❑Registered <br /> McIITM <br /> ❑Adult Signature Restricted Delivery 0 Reglsterad Mall Restricted <br /> 9590 9402 5792 0034 6099 79 o Cerlifled Malice Deinr�y <br /> ❑Certl6ed Mall Restricted Delivery ❑Retum Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2- Article Number(rrarlsfer from service label) 13 Collect on Delivery Restricted Delivery 0 Signature ConflrnatlonTM <br /> 11 <br /> 7112 0 2450 0000 2 901 0 7 9 8 incur a l O Signature Confirmation <br /> on <br /> led Mali R00) estricted Delivery Restricted Delivery <br /> PS Form 3811.July 2015 PSN 75sn-nP.nnn:CFr n.............o..•....,n a <br />