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• <br /> • <br /> 1 <br /> COMPLETE • COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery <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. C. S' ure <br /> ■ Attach this card to the back of the mailpiece, Agent <br /> or on the front if space permits. ❑Addressee <br /> 1. Article Addressed-�Qq . Is delivery ad different m item 1? ❑Yes <br /> If YES,enter, livery,addre below: ❑ No <br /> 11 <br /> 3. Service Type 0 CZ Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> Article Number(Copy from service label) <br /> 70oo - 167© —col/ - zee <br /> . Form 3811,July 1999— Domestic Return Receipt 102595-00-M-0952 <br /> • <br />