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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 maiipiece, <br />or on the front if space permits. <br />t. Article Addressed to: <br />A. Signature <br />X <br />q Agent <br />B.` Aweived by (Printed Name) I C. of I <br />D. Is delivery address dnm t from item 1? 13 / <br />If YES, enter delivery address below: 0 No <br />3. Swvioe Type <br />0 Certified Mail 0 Express WO <br />Registered 0 Return fl r Wpt for Merchandise <br />O Insured Mail 17 C.O.D. <br />4. Restricted Delivery? Of Fes) ❑ Yes <br />2. Article Number 7 011 2970 0 0 0 2 412 0 9681 <br />(transfer from service lab <br />} P8 Foam 3811 .,, ,'Oebruary 2064 ; Domsgtic Return Receipt 102595-02 -WI540 <br />