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I <br /> <br /> <br />A. Signature <br />X k S??.O Agent <br />Addressee <br />B. Received b (Printed Name G. Data of Delivery <br />N?aK, .?ac?dvav3 31/1116 <br />D. Is delivery address different from Item 17 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Se celype <br />--!C ed Mall 0 ExpMS,3 Mail <br />oglstered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) O Yes <br />2. AticteNumber . 7009 3410 0000 9864 5620 <br />(riansterfrom service fabeq <br />PS Form 3811, February 2004, Domestic Return Receipt _102595-02-M-1540 <br />¦ Complete Items 1, 2, and 3. Also complete <br />item 4 If Restricted Dellvery 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 maiipiece, <br />or on the front if space permits. <br />Article Addressed to: <br />Cc...«?,ss <br />tDu vO ob Cc`-"\ <br />A-?e <br />I' D6 o k-: 2-1-0 <br />??^,-? CO <br />x,13 a