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SENDER: COMPLETE THIS SECTION' <br />' ■ Complete Items 1, 2, and S. Also complete <br />Item 4 ff Restricted Delivery hi desired. <br />III Print your note and address on the reverse <br />So that we can retain the Cant to you' <br />i ■ Attach this mid to the back of the mauplece, <br />' or on the frond If apace omits. <br />1. Article Addressed to <br />d LIL <br />/4 tledfdl6 <br />3115o3 <br />2 Article Number 7011 3500 0001 3758 4740 <br />(TrarrSRerrfiumserrioeAsbe+9 <br />PS Form 3811, Febmay 2004 D.j.. la Return Receipt <br />SENDER: COMPLETE THIS SECTION <br />SENDER: COMPLETE THIS SECTION <br />a Complete items 1, 2. and 3. Also complete <br />Item 4 tf Restricted Delivery is desired. <br />• RIM 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 maiipiece, <br />or on the front If space permits. <br />CO1v1PLETC THIS SECTION ON DELIVERY <br />1 <br />Miran <br />e <br />/1 <br />A Signature <br />X <br />of <br />■ 2. and S. Also complete <br />item 4 If Reshioted Delivery is dashed. <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 />-1 4 'Ma <br />&/(1.Si, <br />1S-64 Oba <br />4P5 f 19x4 <br />} 2. Article Number <br />(Tra stet Famservkeiabs° 7011 3500 0001 <br />jl PS Form 3811, February 2004 Domestic Return Receipt <br />1 Article Addressed /rx <br />Poles eg <br />7ttia ee4 <br />, Y4 eyeGt s, aD <br />SD .5a-3' <br />PS Fora 3811, Febnrary2004 <br />2 a <br />Demesrlc Return Receipt <br />CCEIPLETE THIS SECTION ON DEUIESY <br />B. Received by (Patted Namur) <br />D. Is delivery address different from Hero 1? ❑ Yes <br />if YES, enter delivery address below: C7 No <br />SenicelYpe <br />0 Certified Mad 0 Express Mss <br />Registered 0 Return Receipt for Merchmrd <br />1 insured Mall El C.O.D. <br />4. Resided Delivery? (Bata Fee) <br />Mail <br />o Registered <br />❑ Insured Men <br />O Agent <br />Addrem <br />C. Date of Delve <br />° l l3lr' <br />1G2595024M <br />C:DAIPLETE 7 SECTION ON DELIVERY <br />O Agent <br />B. Recaked by (d Name) <br />p gam Addrem <br />!1 3 I <br />E� ✓ t 3 2 <br />D. Is delivery address dtllererrt from Hem 1? ID `Res <br />if YES. enter delivery address below: 0 No <br />0 <br />Express MaH <br />0 Return Receipt for Marchand! <br />0 C.O.D. <br />4. Reshfcb3d Delivery?) 0 Yes <br />3758 4733 <br />4. Restricted Delivery? (Sara Fte) <br />2. Article Number 7011 3500 0001 3758 4726 <br />(Dander *cm series � <br />102596.0244 - 1f <br />D. la delivery adders dilVerenttrem Hem 1? 0 <br />it YES, ante delivery address below: O No <br />i i'Qei1N.d Mall CI Busies Mahn <br />Registered CI Retum Receipt for Merdwndl <br />CI reared Mall CI C.O.D. <br />D Yes <br />ear <br />hn <br />102595•02•4161! <br />