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¦ Complete items 1, 2, and 3. Also complete <br />Rem 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 mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />«-'6 <br />J " J <br />2. Article Number , <br />(Transfer from service <br />A. <br />? Agent <br />,5.;Receivdd by (Printed Name) C. Date of Delivery <br />J (:_ ? - _ 0 <br />D. Is delivery address different from Item 1? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />Ocertifled Mali ? Express Mao <br />? Registered ? Retum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />7009 0960 0000 5952 6370 <br />i P5 Form 3511, February 2004 Domestic Return Receipt <br />102595-02-M-1540