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m' A, C--, <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 />3�r `ci -W <br />LP OAS q'usti 0 <br />l i <br />A. Signature <br />X 1/1A, <br />0 Agent <br />ff'Addressee <br />In I've <br />B. Receive�by (printed Ffeme) C, Date o e <br />// � l <br />D. is delivery address different from item 1? 0 Yes <br />s <br />If YES, enter delivery address below: <br />p"F o <br />11/1 <br />3. Se ce Type <br />Certified Mail ❑ Express Mail <br />0 Registered ❑ Return Receipt for Merchandise <br />0 Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7009 2820 0003 5700 7448 <br />(transfer from service label) 102595 -02- M-1540 <br />Domestic Return Receipt <br />PS Form 3811, February 2004 <br />