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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 />W - zOC,41 -do 7 <br />y_3o -/� <br />C', <br />9TO) <br />e p� <br />A. SI datu e <br />❑ Agent <br />X <br />❑ Addressee <br />B. cei v (Printed /N e) <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail ❑ Express Mall <br />❑ Registered $Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 8570 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />02595 -02 -M -1540 <br />4�-(f <br />