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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 />i. Article Addressed to. <br />C?ALL?i?? <br />A. <br />X <br />f R tved b anted ame). C. Date of Delivery <br />LAC? <br />7711 <br />D. Is deliv address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />??ij? r CO 8d?oYl? ? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Exft Fee) ? Yes <br />7006 2150 0001 8832 8041 <br />.S Form 3811, February 2004 Domestic Return Receipt 102595-02-WIMO <br />Postal CERTIFIED MAIL,, RECEIPT <br />•• Mail On1Y; No Insurance Coverage Provided) <br />CO , <br />fU 3r 3 t <br />m - <br />cO Postage $ <br />/ <br />CO <br />Certlffed Fee / ps <br />O Return Receipt Fee <br />f_3 (Endorsement Required) <br />Restricted Delivery Fee I` ° 9a <br />C3 (Endorsement Required) \ J "` <br />u7 <br />r -q Total Postage & Fees Ls <br />f1J <br />-0 SOXF'o <br />O <br />/ A4 <br />C3 orPOBox'No.' <br />city, .?T1Rtd ...........° <br />GO p ._ <br />PS Form r 2006 <br />See Reverse to, Instru