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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 />Sc~ ~~ ~~ i'~~.s,n ~;~ <br />~~~~ <br />A. Sign re ~ f/Y~¢~ <br />X ~ % ^ Agent <br />^ Addressee i <br />i <br />B. eived by (PLrinted Name) C. D <br />Gt-~'~1. 1~ ~ ~ ~ e of el~iv/ery <br />~ ~° i <br />D. Is delivery address different from kem 1 ^ Yes <br />If YES, enter delivery address below: ^ No <br />`~ r 3. Service Type i <br />~~~ ~~ ~~ ~ ~~~~ ^ Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Men:handise ~ <br />^ Insured Mail ^ C.O.D. k, <br />i <br />4. Restricted Deliveryl(Euha Fee) ^ Yes ~ <br />2. Article Number ~~^^ ~r~ -7 ~ <br />(i`ransfer from service laben ~ 3 ~ ~ ~ V ~~ ~ W ~ ~ / ~' ~. ~/ ~ ~ I <br />PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 <br />