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¦ Complete item 1, 2, and S. 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 maupleae, <br />or on the front if space permits. <br />1. Artide Addressed tw <br />5er <br />(,rbc vGjI.m 4 <br />2crc•9s,f? <br />?IleifwGad Sr° <br />A. <br />Nuns) <br />0 Agent <br />0 Addre <br />D. Ia dGIIv&Yaddress dHterri #ftm item 1? ? Yer <br />If YES, erg delhrery address below: 0 No <br />a Service Type <br />0 Carolled Mall D man <br />a Registered 0 Return Receipt for Mendrarrdise <br />0 Insured Man 0 C.O.D. <br />4. ResWCbd Deiivsry9 OEOa Fse) 0 Yea <br />2. Amide Number <br />(RwwJsrf mssrvAvls6el) <br />PS Form 3811, February 2004 Domestic Rohn Receipt 10-M-+rAO <br />¦ Complete items 1, 2, and & ALSO complete <br />Item 4 If Rentdcted Delivery Is desired. <br />s Print your narne, and address on the reverse <br />so that we can return the card to you. <br />¦ Attach this card to the back of the maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />0 Agent <br />8. Re%OKed by fArrted Name) 10. Date of Del" <br />delknery ads dttterent from item 17 ? Yes <br />Ar jg)T,%enter deUmy address below: 0 No <br />GLjN N, It ()-^ 6 <br />Of C???rss? ??c ? <br />Ile <br />7 <br />T i <br />SqMw TAB <br />0 OwWW Mau 0 mesa Mau <br />0 Registered 0 Return Rweipt for Merchandise <br />0 Insured Man 0 C.O.D. <br />4. Restricted DeMeryl (Extra Fee) 0 Yes <br />2. ArHde Number <br />(A hatnawbelabel) <br />PS Form 3811, Februarys 2004 Domestic Retum Receipt 1 02-M 4W