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^ Complete items 1, 2, and 3. Also complete A. Signature <br />~ <br />item 4 if Restricted Delivery is desired. ) ~,q- <br />X <br />' <br />~ <br />^ Print your name and address on the reverse _.~ <br />. ~ - (,~.G2t•- <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, g Rived by~ Printed Name) <br />or on the front if space permits. ~ /~ <br /> <br /> <br />1. Article Atltlressed to: D. Is delivery address different from itert <br /> If VES, enter delivery address belov, <br /> <br /> <br />Co . $~ o t <br />a.~. <br />l.~.fn-vt <br />~ <br />~ 3. Servi Type <br /> Certified Mail ~ Express Mail <br /> ^ Registered ^ Return Recei <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) <br />2. Article Number <br />(trans/er from service label) 7 0 1 2 510 X 0 0 3 6 711 18 2 5 <br />PS Form 3811, August 2001 Domestic Return Receipt <br />