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^ Complete items 1, 2, and 3. Also complete <br />Item 4 ff 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 />t. Article Addressed to: <br />~}~. D ~ BCC' zed <br />~'~9 i D~~~ CO . $"f~~ 1 ~O <br />A. Signature <br />~~'' ~K9~ <br />by <br />D. Is delivery address different from item <br />ff YES, enter delivery address bebw: <br />ant <br />Addressee <br />^ No <br />3. Type <br />aed Mati ^ Express Mail <br />Registered ^ Return Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery't (Od-a Fee) ^ Yes <br />2. Article Number - - - "-- <br />(rransferfrom service fabel) 7 4 0 6 2150 0 0 0 2 -8 513 4 7 0 5_-- <br />PS Form 3811, February 2004 Domestic Return Receipt t025ss~a2-M-t5ao <br />^ 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 />pa 1 <br />~ c~ 2 v 2~` Si . <br />X Si slurs <br />^ Agent <br />^ Addressee <br />8.ed by (Printed Nam) ,~C. Dane qr Deliy~ry <br />(~ l ~rt~ C~-!~ ~ l I ~ / 7 / ? <br />D. Is delivery address differettt from item 1? ^ Yes <br />if YES, enter delivery address bebw: ^ No <br />3. Service Type <br />-~`{'°"~ Mail ^ Express Mafi <br />^ Registered ^ Return Receipt for Merohandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Dora Fee) ^ Yes <br />2. Amide Number _ 70Q6 2150 0002. 8513 ,4699 <br />(fiensfer from S6N/Ce Iabe1J 1 -- <br />PS Fom, 3811, February 2tx?4 Domestic Ratr,rn R„,~.,t ........_ ~ ... _ . _ <br />