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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 />eory� All sly <br />l boo t��cffr <br />7 <br />/V W <br />A. Signature <br />X Agent <br />❑ Addressee <br />"BI I ;O/by (Pri Kj;e) C. Date of Delivery <br />D. Is deliy6ry address differerit from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mail ❑ press Mail <br />❑ Registered turn Receipt for Merchandise <br />11 Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />(Transfer from service 16W 7008 1140 0000 3948 1516 <br />fi l rs� 21 w.,E$rQ??," ? ;! ? ? Domestic Return Receipt 102595 -02- M -1540 <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 />l <br />J <br />YO 4T <br />h/�swL 1� C <br />A. Si ature <br />'Agent <br />X + ❑ Addressee <br />B. Received by (Print ame) 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 />JkCertiffed Mail ❑ Express Mail <br />❑ Registered �Retum Receipt for Merchandise <br />❑ Insured Mail C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7008 1140 0000 3948 1523 <br />(Transfer from service Iabeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -1540 <br />