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• Complete Items 1. 2, and 3. Also complete <br />Item 4 If ResMcted Deliver, 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 bark of the mallpiece, <br />or on the front if space permits, <br />1. Article Addressed to: <br />LXI-AD <br />A. Signature <br />Received by (P(fnfed Name) -Fa. <br />D. Is delivery address dnbm-# ft- loam 1? Yes <br />If YES, enter delivery address below: ? No <br />a Service 7ypa <br />` U '--?O L, 'Slz? a>$erUfled Man a Express Man <br />Registered j!'ttemm Receipt for Merowndiee <br />E3 Insured Mail o C.O.D. <br />4. Restricted DeWery? (F-rya Fee) 0 Ybs <br />2. Article Number. <br />(rin W M4 rr6 servxe, 7008 2810 0001 4682 5608 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />10250-024,41640 <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 maiipiece <br />or on the front bf space permits. <br />1. Article Addressed to: <br /> <br />A. Signature <br />x .?-f <br />? Agent <br />? Addressee <br />B. ecelved by (Printed Name) C, Date of Delivery <br />D. Is from Item 1? 0 Yes <br />If/ enter dell ive se below. 0 No <br />'4/' 1 0 <br />70 <br />a service - <br />Xitrertrned Mall a Enna Man <br />o 1?VAersd MRetum Receipt for Merchandise <br />a CA CO ? insured Mall 0 C.O.D. <br />v cT 4. Restricted Delivery? Oft Fee) 0 Yes <br />2. Article Number <br />(rMnsfe fromsenAce&W 7008 2810 0001 4682 5639 <br />PS Form 3811, February 2004 Domestic Return Receipt 102585-02-WlUO