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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 />iC- r C( f- �Es <br />Q- D 30X CD z,1 <br />ke-` -dv, flel @ () �0�6 <br />A Sign /latuL�/� <br />4] Agent <br />ddr ssee <br />B. Received by ( Printed N e C. Dat �f Iivpry <br />J� iC_NAu M o l /JAS <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />9Certified Mail ❑ Express Mali <br />,Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />14. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 2 210 0002 2 9 0 4 6127 <br />(Transfer from service label) — -- -- — -- - - - - - -- <br />PS Form 3811, February 2004 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 />-bc,-k A- S 'b e-6, -a <br />P -D -3ox loos <br />feu ,l o; <<-p-) Co go�� <br />A. Signature <br />X Ag <br />e <br />! , <br />B. Received by (Prin ed Name) DWof I <br />1, /4 .� f <br />D. Is delivery address different ftfn item 1? 13 Ye: <br />If YES, enter delivery address below: ❑ No <br />3. rvice Type <br />Certified Mall 0 Express Mall <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />G <br />2. Ara Number <br />fer from servic <br />( 7012 2210 0002 2904 6158 <br />(transfer t <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02-M -1540 <br />