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3 <br />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 />. Article Addressed to: <br />:S" Kff?-? 4-" <br />_.cd S10/l17 <br />A. <br />X <br />? Agent <br />B. Received ? ? , ?), C. Pto of DQiivery <br />D. Is delivery ad different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />/fi <br />3. Service Type <br />Mail O Express Mail <br />t egistered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />7006 2150 0001 8832 8065 <br />S Form 3811, February 2004 Domestic Return Receipt 102595-024A-1540 <br />3Nn .. <br />.: <br />•? <br />COMPLETE THIS SECTION ON DELIVERY <br />¦ Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. ? gent <br />¦ Print your name and address on the reverse Addressee <br />so that we can return the card to you. B-Pteeiintd by (Prfn ) pat of D iiv ry <br />¦ Attach this card to the back of the mailpiece, (">v J <br />or on the front if space permits. <br />D. Is delivery address d m item 1? ? Yes <br />1. Article Addressed to: If YES, enter delivery dress below: ? No <br />-769 <br />?oYSi <br />3. Service <br />Type <br />'FjJ3?ertffied Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />7006 2150 0001 8832 8058 <br />'S Form 3811, February 2004 Domestic Retum Receipt 102595.02-WI540 <br />U.S. Postal Service,. U.S. Postal Service,,I <br />CERTIFIED MAIL,, RECEIPT <br />(Domestic CERTIFIED MAIL,, RECEIPT <br />only; No insurance • .•Provided) (Domestic Only; No Insurance • .•Provided) <br />• C3 <br />For delivery information visit our website at www.usi-com?; En i <br />I For delivery information visit our website at www.usps.com. <br />t fw.. i7f ft 7R 9`4 1 'f <br />? 3 <br />Postage $ 4 - .- <br />certified Fee <br />Ppetritstru <br />. Rearm Receipt Fee /? ? ? ?gym <br />, (Emtorsemerrt Reglrirecg v n <br />Restricted Delivery Fee <br />(Errdorsemertt Required) °.t <br />Total Postage & Fees c 5 /? <br />ALL <br />To <br />7orPOB=Na <br />tare i+4 <br />PS Form 3800. August •200i See Revpise for Instructions <br />M <br />co Postage $ <br />CD ' 14 Lt <br />certified Fee <br />C3 (Endorsamerd Race' Fee <br />G <br />C3 Restricted Delivery Fee <br />0 (Endorsement Required) <br />3 <br />PNei$ <br />L7 <br />rR Total Postage & Fees j J <br />rL <br />? Meru ro <br />.. a, _ <br />C3 <br />F'S Form 3UUU. A gusl 2096 See Reverse for Instructions I