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ss <br />E RPo r <br />Postage: <br />Certified Fee: <br />Return Receipt Fe <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <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 rnaiipiece, <br />or on the front if space permits. <br />1. Article Add r essed to: <br />2. Article Number <br />(Transfer from service Iabeq <br />PS Form 3811, February 2004 <br />U.S. Postal Service,., <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com , <br />$0.44 <br />G4s- $2.85 <br />x$ <br />'2'30 <br />6 2012 . I nark <br />cot t`a <br />Total Postage Fees \ \ <br />tiesmcxea uenvery ree <br />(Endorsement Required) <br />See Revers, for Instructions <br />G1. E g u '4-G. e w in-t,t <br />Vve5 f- L�ra��-rc ✓e / <br />/hie /Q e,40 • 8 t/.2_9 <br />A. Signature <br />B. Received by (Printed Name) C. Date of Delivery 1 <br />tS6 f 64,s / —/d /cR <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: Q No <br />3. Service Type <br />❑ Certified Mall <br />0 Registered <br />0 Insured Mail <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />7009 2820 0003 5700 5062 <br />Domestic Return Receipt <br />03-Agent I i <br />0 Addressee <br />0 Express Mail <br />0 Return Receipt for Merchandise <br />0 C.O.D. <br />102595-02 -M -1540 <br />