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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by (P v ed Nam <br />A. Signature <br />X <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />1� 1-7 <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 />lk)ct.4 / nc U►' �S� CT f'h� �ua►,c� <br />Li 7s N . MCA et &s �) <br />S ic c 0_ 1 . &or .1 <br />2. Article Number <br />(Transfer from service <br />7009 2820 0003 5700 7585 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />D. Is delivery address differe • Item 1? ❑ Yes <br />If YES, enter delivery address 12 ❑ No <br />3. Service Type <br />❑ Certified Mall ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />CeA,14e;) ee.24-1 <br />�¢esch.ek,i <br />102595 -02 -M -1540 <br />