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omplete items 1, 2, and 3. Also complete <br />iem 4 if Restricted Delivery is desired. <br />'rint your name and address on the reverse <br />.o that we can return the card to you. <br />%ttach this card to the back of the mailpiece, <br />-ir on the front if space permits. <br />Article Addressed to: <br />ty <br />,a ? Agent <br /> Addressee <br />t <br />, <br />DD <br />(Printed Name) <br /> W <br /> <br /> <br />ry address different from item <br />D. Is delive E3 Y <br /> <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />Article Number 7009 1680 0000 8414 8343 <br />(transfer from sei <br />Domestic Return Receipt 102595-02-M-1540 <br />Form 3811, February 2004 <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 frond if space permits. <br />. Article Addressed to: <br />A. Sig re tii <br />X ' I d <br />B. ived by (Printed Nam of De <br />D. Is delivery address different m m:? O Yes. <br />If YES, eater delivery address el <br />3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7009 1680 0000 8414 8244 <br />(rmnsfer from service <br />102595-02-M-1540 <br />:)S For13811, February 2004 Domestic Return Receipt <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 />1. Article Addressed to: <br />-Fe-" <br />Imo, <br />. 7 A . ? Agent <br />B, R e - by (Printpal Name). C. Date of Delivery <br />D. Is delivery address cliff ferent from item 17 P No <br />If YES, enter delivery address below: <br />3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? G.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7009 1680 0000 8414 8282 <br />(Transfer from sex <br />fozses;ra1-1940 <br />x c.,..,, RA11 Fahruarv 2004 Domestic Return Receipt