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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 Addressetl to; (~ 1 ~~ <br />~-- r r/rvN~ v~ <br />_~~,~,an~-G--:~I, -cam ---~-~a~ <br />I~~jCy ~-{~ b <br />1 a5~ <br />A. Signature w <br />X 1 ~. _.J L' ,~ OiAgent <br />T~ f~.t-C.2G;~- ~~ ~~ct[,C.u] Adtlressee <br />0. Re eivetl by (Printed Name) C. Date of Delivery <br />D. Is delivery adtlress tlifferent from item t? LJ Ve; <br />If Y/ES~ente~delivery address below: ~ No <br />Y <br />3. Service Type <br />CA Certified Mail ^ Express Mail <br />^ Registered ~ Return Receipt far Merchandise <br />^ Insured Mail ^ GO.D. <br />4. Restric[etl Delivery? (Extra Fee) ^ Yes <br />2, Article Number <br />(Transfer from service rabeq 7 Q Q 2 10 0 0 0 0 0 4 7 818 5 5 2 4 <br />PS Form 3811, August 2001 Domestic Return Receipt toasss ot-rn.zsos <br />