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oawn <br />¦ 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 />A. S' at re ?vt"kj <br />? Agent <br />X ? Addressee <br />B. Recei d byxPrfnted Name) C. Da of D liv <br />L"JAV, Il?kj0ia"." U '7 G <br /> <br />1. Article Addressed to: <br />M r, :To4n L, ??di??lrl <br />1-1°?U? Br,X f? 9!0 <br />D. Is livery address different from item 1? f ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />Certified Mail O Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number - - <br />Mransfarfrom service lab( 7008 0150 0000 9296 0638 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-1540