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1 <br /> ■ t.oiiitpiate tte is f 2,avid a Ateo otxnplefe A Raoetuod by Frt .CAForw t 'of DaAvory• <br /> Warn 4 K Re <br /> ■,Print your�art 'i atrddress on the revwse Addres<►oo <br /> so that.we can"whim the Card to you. <br /> ■ Attach thin card to the heck of.tha msill:" X 3 Agent <br /> or on_the front 11 its space perm .' Q <br /> 1. Article Addressed to D. Is delivery ❑Yea... <br /> If YES arter aeN G' 'tVo , <br /> E `�/ G <br /> ` Chi. 3. Service type <br /> C3 Re9fate : 0.. pt for Merchandise <br /> :O Insured Man . :O C.-O.D. <br /> 4. Restricted Delivery?(Exrm Fee) _ ❑Yrrs <br /> 2 Article Nurriber !,umservice <br /> PS Form 3811,July 1999 Dortws:lir Ra m Rvice rt : loaeae ao M os� <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also Complete A. Received by(Please Print Clearly) B. ate 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. Signature <br /> ■ Attach this card to the back of the mailpiece, X ,/ ❑Agent <br /> or on the front if space permits. ❑Addressee <br /> D. Is delivery address differ t from item 1? ❑Yes <br /> 1. Article Addressed to: r If YES,enter delivery address below: ❑ No <br /> • zo PPS { <br /> 3. Service Type <br /> 12Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchar.-iise i <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number(Copy from service label) <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595.00•M•0952 I <br /> ti't arrsp>—eteRetiis"1 2.arid3.Also°.WOW 7C irwvociiiy{pTt'cl�i +{ <br /> item 4;If fietttrtcted ZJet.(very is desired <br /> arixtC your nt�rtte end address on the reverse C S n I <br /> So that we can retum:the card to:you y <br /> ■ Mach.,, card toAhe tract et tho mallplew. X <br /> or on tha ftoftt_if sPa+ae permits OA _j A�� <br /> CL M frotrt <br /> t. Article Addr to ff.YE3;.errter deii+ni�yraddeees betovr' O tJo <br /> Sorvfae 1". <br /> Arcertit;,ea M&I. (3 Eicprats Mal <br /> ❑Reflls awl ❑Return neeelpt for Metchandix <br /> (y0 Z 0 insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Fxtra F-rw) ❑Yes <br /> 2. ArtiOv Nurnbw ropy hum service label) <br /> • 700 i.1 / 7D p 0/l z �r7 <br /> PS Form 3811,July 1999 Domestic Rehun Rw*pt 10259rC+kM-09!2 <br />