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Add e` <br />'GO P <br />0 Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />0 Print your name and address on the reverse <br />so that we can return the card to you. <br />O Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />ci- <br />oci <br />- re120, <br />e-) <br />1 .:4-01.",CIA@gla.,16(0)-0.)iffiI.kr,ggi;, „ <br />A. Signature <br />B. Received by ( Printed Name) <br />' ' • ' D Agent <br />0 Address <br />C. Date of Deli VE <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />- 7( I 4 <br />3.S9vic9 Type <br />\), Certified Mat <br />Registered <br />0 Insured Mail <br />4. Restricted Delivery? Em Fez) <br />0 Express Mail <br />0 Return Receipt for Merchant:1i: <br />0 C.O.D. <br />0 \to <br />2. Article Number 7n09 2820 0004 3268 0733 <br />• <br />(Tivnsfer from service label) <br />102595-02-M-1! <br />PS Form 3811 „February 2004 Domestic Return Receipt <br />