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rs Complete items t , 2, a-~d 3 A'so complete <br />L. item 4 if Restricted De{ivety is desired. <br />m Print your name and address on +he reverse <br />so that we can return the card: to you. <br />® Attach this card to the back of #ti ~ ^~ailpiece, <br />or on the front if space permits. <br />1. Articl© Addressed to: <br />,,~~. ~" /ls`z~ <br />A. ature ' <br />~ ! ,(! l ~~~,~L tessee_ <br />.-- Received by (P ' ted N ) i C. Date of Delivery . <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />"~ ~~~ ; <br />3. Service Type , <br />Q-Certified Mail ^ Express MaiE <br />^ Registered ~ Return Receipt for Merchandise <br />^ Insured Mail D C.O.D. <br />---_ _. <br />!ed Delivery? (Extra Fee) ^ Yes <br />-_ <br />__ __ _ ... <br />_.. -- , <br />z. ~a~~ 25ba ~oaQ ~n~~ ga <br />_. _....,,,~ ~ervlce label) <br />PS Form 3811; February 2004 Domestic Peturn Receipt to2sss-o2-M-tsao , <br />