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'~ ~ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />~uld~~ ~'~yCa~i~~~,o,~er. <br />/3~S 1~.~~r-/ .S'fi-2e~ <br />~~/de~ ~d ~~~ <br />A. Signatu a <br />X ^ Agent <br />^ Addressee <br />B. Rec ved by (Printed Name) C. Date of Delivery <br />a <br />D. Is tlelivery address different from item tt Yes <br />If YES, enter tlelivery address below: ^ No <br />3. Service Type - I <br />Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insuretl Maii ^ C.O.D. I <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Number - I <br />(Transfer Jrom servrce labe9 '~ _7 O O 1 1140 0 0 2 3 8 8.3 6 9:5 4:. <br />..' <br />`PS Form 3811, August 2001 , Domestic Return Receipt - - - - to2595-ot-MM-z5o9 <br />7 <br />~ ~ ~ ~ ~ ~ i, <br />D <br />.. <br />rrl Postage $ 0.57 Or <br />~ A~' <br /> <br />~ cemnea Fee <br />m <br />? G <br />9l <br />< <br />$ <br /> ~ <br />f1J Retum Receipt Fee <br />(Endorsement Required) 1.50 /~ Hera ti <br />~ <br />O Restricted Delivery Fea <br />O (Endorsement Required) 1erk~C6MKK O <br />~ <br />total Postage a r-eea $ 4.17 ~ <br />' <br />~ <br /> 1208 <br />0 <br />0 <br />M1 <br />