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U.S. Postal ServiceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only .:: �w Coverage Provided) <br />For dzli•::rl i;r re, rrr4 , ;n visit our website at www.usps.corno <br />O 'F lCL1 L OhiSE <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />01 <br />Postmark <br />Here <br />09/19/2011 <br />� 1 <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <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 />?lift ? /7 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />COMPLETE THIS SECTION ON DELIVERY <br />Obi F <br />c <br />A: Signet <br />D. Is delivery address different from item 1? <br />1. Article Addressed to If YES, enter delivery address below: <br />C i0. ,4f �j Ira ,1c,' 0�J Pb�,, � c,`7`d--- <br />95- f , � 2 U) ct:. ci). 0 <br />3. Service Type <br />rtified Mail <br />Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7011 0470 0001 1032 7813 <br />• ent <br />■ Addressee <br />C. Date of Delivery <br />041n31 it <br />Yes <br />❑ No <br />❑ Express Mail <br />O Retum Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />Domestic Retum Receipt 102595 <br />