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" ^ Complete items 1, 2, and 3. Also complete <br />item 4'rf Restricted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this carcl to the back of the maifpiece, <br />or on the front h space permits. <br />1. Article Addressed to: <br /> <br />Grr,~~,~' t1 uti~c t,~k ~ C~~ ~~~ <br />A <br />X <br />^ Agent <br />Fieceivetl by (Pdnted Name) ` C, Date of Daivery <br />~ti~,.ar P~r~r~~t'ti /775 <br />D. Is delivery address diRerent horn item 1Z crye: <br />If YES, enter delivery address below: ^ No <br />i <br />~~~ ~~ <br />3. Service Type <br />^ Certified Mal ^ Express Mal <br />^ Registered ~ Relum Receipt for Merchandise <br />^ Insured Mal ^ C.O.D. <br />4. Resnictetl DeWerJl (Evfra Fee) ^ Yes <br />z. ArtiGeNUmber 7002 241 ^~~2 6489 9079 <br />{iransler from service b <br />PS Form 3811, august toot Uwnesfic Aetum Receipt fcesvsot-M o3et <br />