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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY f. <br />A. Signature <br />/ <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 />o Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />‘KpbC\IQ. ) r"\ <br />edt. <br />CL) r I tr. <br />yti <br />• ‘u 1 01,1r3ID <br />/003- 96/9 <br />2, Article Number <br />B. Received by ( Printed Name) C. Dato of Delive <br />D. Is delivery address different from item - I? <br />- If YES, enter delivery address below: 0 No <br />3. ,Se ice Type <br />Certified Mail <br />0 Registered <br />El Insured Mail <br />4. Restricted Delivery? (6ctra Fee) <br />?009 2820 0004 3268 0?26 <br />01 from servIce fabe0 _ • - - _ _ <br />ps Form 3811, February 2004 Domestic Return Receipt <br />0 Agent <br />0 Address' <br />0 Y <br />0 Express Mail <br />0 Return Receipt for Merchandi; <br />0 C.O.D. <br />0 Yes <br />102505-02-M-15 <br />