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ENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVER' <br />A. Signature <br />E3 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 />El Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />.1-NArticie Addres ed T.N1 <br />obe,4 tties11- toR.Lt\i, <br />QJu <br />(91o1;&3 <br />'3' <br />/9/3g 96 /9 <br />;:- <br />B. Received by (Printed Name) <br />.14 <br />D. Is delivery address different from item 1? 0 Ye <br />If YES, enter delivery address below: 0 No <br />L <br />0 Yes <br />0 Agent <br />4/ 0 Address( <br />C. Dat of yive <br />7 <br />3. Se 'co Type <br />Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandi: <br />O Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />2, Article Number 7009 2820 0004 2268 0726 <br />(Transfer from service itte0 - - <br />ps Form 3611, February 2004 Domestic Return Receipt 102595-02-M-15 <br />