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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 />C e-V7 C <br />Co $oSKO <br />A. Sign <br />� ❑Agent <br />' ,/,� � � ❑Addressee <br />B. F3eceived by (Pr— inte;� ame) C. Date f Deli ery <br />D. Is delivery address different from item 1? Q Yes <br />If YES, enter delivery address below: 4No <br />3. SeDoee Type <br />Certified Mail ❑ Express Mail <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 7917 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 ; <br />M- �-)Ctz -vtS <br />P,TB L�ffe� <br />