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U.S. Postal Service" <br /> CERTIFIED MAIL® RECEIPT <br /> m Domestic Mail Only <br /> Q"m For delivery information,visit our website at www.usps.com®. <br /> I I <br /> <, <br /> m �` <br /> f-I Certified Mail Fee <br /> Er $ <br /> Extra Services&Fees(check box,add fee as appropnate) <br /> ❑Return Receipt(hardcopy) $ <br /> D ❑Return Receipt(electronic) $ Postmark <br /> 0 ❑Certified Mail Restricted Delivery $ MA ^ Here <br /> D 4❑Adult Signature Required , <br /> 0 Signature Restri � v <br /> - (1 <br /> / <br /> 0 Postage , <br /> ru $ ��L3 <br /> fU Total Postage and Fees �, V <br /> Sent To 4 R hI <br /> o Street and Apt.No,or POO�Ooywgat6 �e`3 <br /> City,State,ZIP+45 <br /> PS Form 3800 A.ril 2015 PSN 7530-02-000-9047 See Reverse for Instructions <br />