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• 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 />SPr�, t <br />LOW(. i, Co TO S 3 � <br />A. SI nature ;, 1 <br />X <br />El Agent <br />❑ Addressee <br />B. Received by (Prin, d Name) J C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se ce Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Maf ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 9300 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />C 0- / q � Z/- o�? a <br />ay -oz--/Z- <br />,� <br />pd-e- <br />