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¦ Complete items 1, 2, and 3. 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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: "Wr <br />A. Sig ure p Agent <br />X ? Addressee <br />B. Re ived by ( rinted Name) C. Date of Delivery <br />D. Is delivery address different from item 1? Oyes <br />If YES, enter delivery address below: 0 No <br /> <br /> <br />/? <br />S 3. Service Type <br />il <br />M <br />d p Certified Mail a <br />E3 Express <br />/D /?? <br />/??? <br />?j <br />C p Registered <br />p Insured Mail p Return Receipt for Merchandise <br />[3 C.O.D. <br />? <br />? <br />V (/?Y Y 4. Restricted Delivery? (Extra Fee) p Yes <br />2. Article Number 7009 2250 0003 7754 8676 <br />(Transfer from service laben <br />Domestic Return Receipt <br />PS Form 3811, February 2004 102595-02-M-1540