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SENDER: COMPLETE THIS SECTION <br />3N11 1:13J-100 11 010.1 'SS3l001 NtlaLL31d 3H1 a' <br />1H018 3H1013d013AN3 30 d011V N3)IOI15 3DVid <br />COPoIPLETE THIS SECTION ON DELIVERY <br />1 is <br />re. Ir <br />a. <br />❑ Addressee <br />of <br />70 0000 3464 5495 <br />Yes <br />D. Is delivery address different from Item 1? <br />H YES, enter delivery address below: ❑ No <br />a Servbe type <br />a Certtfed Mae ❑ ems Mail <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mae ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑Yes <br />• Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />• Print your nerve and address on the reverse <br />so that we can retum the card to you. <br />• Attach this card to the back of the maiIpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />1 g( £(d 4 ; 4 i i , e4:45 <br />765' l 5pr. --ct VW <br />ca. tarke(4,1 jprl iti' C O <br />00 4" - aS <br />2. Article Number 7 011 15 <br />(Danger from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />u. <br />0' <br />ul <br />m <br />0 <br />4 <br />O <br />N <br />Ll <br />r--1 <br />r-1 <br />r3 <br />O <br />N <br />U.S. Postal ServiceTr., <br />CERTIFIED MAILTf., RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com; <br />C° *"fie I) $ E <br />$0.4 01 <br />Certified Fee $2. ` i l l <br />$_. t `4) I <br />$0.00 �0 8 0: <br />Poetalp <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />$5.59 <br />11/25/2011 <br />See Reverse for Instructions <br />102585-024.1-1540 <br />