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<br /> <br />¦ Complete items. 1, 2, and 3. Also complete A. Signature <br />Rom 4 If Restricted Delivery Is desired. <br />x O Agent <br />¦ Print your name and address on the reverse ? Addressee <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailplece, 8 ved by (Printed Name) <br />r <br />` C. Date of Delivery <br /> <br />or on the front if space permits. r <br /> <br />1. Article Addressed to: D. <br />Is d ft yaddr <br />ess diQerent from Item 1 <br />H YES, enter delivery address below: <br /> <br />0 Yes <br />? No <br />G1R{7?4' ! R n'1 q N <br />NTy' &oA,¢d vF <br />' ?C? I!I 1550 <br />h <br />? <br />C <br />ee/S o N ( 3 <br />S <br />l <br /> erv <br />. <br />ype <br /> <br />? <br />W T 10 " R_e Mail ? Farris Mail <br />I / 13 Registered 1>911attrm Receipt for Merchandise <br /> ? Insured Mail (3 C.O.D. <br /> 4. Restricted Delivery! (Extra Fee) ? Yes <br />2. ArtldeNumber 7006 <br />(ransfer from sendee hftO 0100 0007 1940 8823 <br />PS Form 3811, February 2004 Domesttc Return Receipt 102W6-02-M-t540 <br /> <br /> <br />n <br />n <br />0 <br />0 <br />0 <br /> <br />