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SEND COMPLETETHIS SECTIO T COMPLETE;THIS SECTION ON DELIVERY <br />❑ Agent <br />Add -sse <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. ArticlAddressed to: <br />LM C-E' q e 25 <br />Pct - no tJ5 <br />13LP,0040.LS et-see-G' <br />to5So6To thcTCe-IA Ft\ <br />iks6t..o ( 81.03 <br />2. Article Number <br />(Transfer from service label) <br />PS 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 front if space permits. <br />1. Article Addressed to: <br />C-A NA <br />I U LO cc » e-nX, t r t NG,. <br />33i,o t oNk 'D <br />��S 6LO GA t' too <br />2. Article Number <br />(Transfer from service label) <br />PS 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 front if space permits. <br />1. Article Addressed to: <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />• <br />Domestic Retum Receipt <br />3. Service Type <br />A Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />7009 0080 0000 6644 6237 <br />Domestic Return Receipt <br />GA.St.f tt Lb FAellyk5, LLC <br />lots3 S KKoLLCk &CLE <br />\G,Ai■ANYV5 RJNLw Ccco t3o <br />5 ' - 7T <br />D. Is delivery address different from item 1? ❑ Y:'s r/ <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mall <br />❑ Registered <br />❑ Insured Mall <br />Domestic Return Receipt <br />eived by ( Printed N <br />4. Restricted Delivery? (Extra Fee) <br />❑ Express Mall <br />❑ Retum Receipt for Merchandis( <br />❑ C.O.D. <br />❑ Yes <br />102595-02 -M -154 <br />SENDER: COMPLETE THIS SECTION <br />COMPL THIS SECTION ON DELI /ERY <br />A. Signatur <br />X <br />❑ Agent <br />❑ <br />AddressE <br />C. Date of Deliver <br />B. Re ived by (Printed Name) <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />4. Restricted Delivery? (Extra Fee) <br />7009 0080 0000 6644 6220 <br />❑ Express Mall <br />❑ Return Receipt for Merchandis <br />❑ C.O.D. <br />❑ Yes <br />102595 02 - M - 15 <br />`COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X l��� <br />B. Received by (Printed <br />SENDER: COMPLETE THIS SECTION <br />ame) <br />4. Restricted Delivery? (Extra Fee) <br />7009 0080 0000 6644 6213 <br />❑ Agent <br />❑ <br />AddressE <br />C. Daeof Delivei <br />D. Is delivery address d fferent from item 1? ❑ Yes <br />,<If ' Sr.;enter,deiivery address below: ❑ No <br />l ❑ Express Mail <br />Pgi ❑ Retum Receipt for Merchandi; <br />❑ Insured Mail 0 C.O.D. <br />❑ Yes <br />102595- 02 -M -15 <br />