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1\1DER: COMPLETE THIS SECTION ' <br />FaOli4P * <br />O Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />O Print your name and address on the reverse <br />so that we can return the card to you. <br />El Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />- c-/0b - { f <br />x_ <br />0)61/077(2,,k_) <br />e6 60-Lo <br />2. Article Number <br />70E19 2820 0004 3268 0702 <br />(Transfer from service labeD <br />PS Form 3811, February 2004 <br />B. Received by ( Printed Name) <br />A. Signature <br />X <br />Domestic Return Receipt <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3..,S Type <br />0 Registered <br />0 Insured Mail <br />C3 Agent <br />"0"Addresse <br />C:lraie Deliver <br />0 Express Mail <br />0 Return. Receipt for Merchandise <br />0 C.O.D. <br />4. Restricted Dellyety? (Extra Fee) 0 Yes <br />102595-02-M-154 <br />