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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 thecard 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 />D t �dG. ;' <br />J` /' c �l <br />?i7 O4! <br />2. Article Number <br />(Transfer from service Label) <br />A. Signature <br />PS Form 3811, February 2004 Domestic Return Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />3. Service Type <br />Certified Mail <br />eglstered <br />❑ In ured Mail <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />ow <br />4. Restricted Delivery? (Extra Fee) <br />7009 1680 0000 3570 3157 <br />DEC 1 ' 2011 <br />} <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />Agent <br />❑ Addressee <br />C. Date of Delivery <br />1Z i t <br />❑ Yes <br />102595 -02 -M -1540 <br />