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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />ure <br />C. Date <br />❑ Agent <br />Addressee <br />f Delivery <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 />*bur &NA mnor■ <br />1015oo 118.6 <br />Ki,r C <br />2. A ran sfer Number from service label l og 0470 00t 153' q735 <br />" <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />D. Is delivery address different from Item 1? . la Yes r <br />If YES, enter delivery address below: 10 <br />3. Service Type <br />Tttfied Mail <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />J .S. Postal ServlceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery Information visit our website at www.usps.come <br />Sent o <br />. • r?k <br />.; _ <br />Street, lip - t. ' ` <br />or PO Box No. 4O1Y S _ 00 A I • <br />1 <br />City, Stat IP +4 <br />• • <br />?S Form 3800, August 2006 <br />See Reverse for Instructions <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />