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<br />¦ Complete items 1, 2, and 3. Also complete A. SI nature <br />Rem 4 if Restricted Delivery is desired. 0 Agent <br />¦ Print your name and address on the reverse Addressee <br />so that we can return the card to you. g. Received by (Printed Name) Date of Delivent <br />¦ Attach this card to the back of the mailpiece, Cy ,Z/ Uo/ _ <br />or on the front if space permits. <br />D. Is delivery address differe nt Item 1? 0 Yes <br />1. Article Addressed to: If YES, enter delivery address below: 0 No <br />61r,41 -46 <br />D,,,--.4 3. Service Type <br />0 Certified Mail 0 Express Mail <br />f O Registered 0 Return Receipt for Merchandise <br />91 Z? 0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? 0 Yes <br />2. Article Number 7008 3230 0002 7252 7688 <br />(Transfer from service labeo <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-W154o <br />Postal ServiceTM <br />CERTIFIED MAILT. RECEIPT <br />(Do <br />Co <br />, <br />ru € <br />U-1 - - f? 0.44. <br />ru postage: <br />certified Fee:n <br />.30 nark <br />o Return Receipt Fee: $ re <br />ti 5.54 <br />0 I <br />Total Postage \e ?? <br />C3 <br />IT I <br />N Total Postage & Fees <br />m <br />cc Sent o <br />Q Stree .Apt. No.: or PO Box No.?G <br />Cit S t . ZIP+4, //? (1 Q !i? L._