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k, ; <br />• Complete Items 1, 2, and 3. Also complete A. Signature --�� <br />item 4 If Restricted Delivery is desired. X <br />• Print your name and address on the reverse <br />so that we can return the card to you. B. Received by ( Printed Name) C: Da <br />■ Attach this card to the back of the mailpiece, <br />or on the front If space permits. <br />1. Article Addressed to:) <br />itr1tt( -',l �(iitfij <br />D. Is delivery address different from Item 1? <br />If YES, enter delivery address below: <br />3. Servipe Type <br />WCertified Mail 0 Express Mail <br />0 Registered 0 Return Receipt% <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number <br />(transfer from service labeo 7008 2 810 0001 0 714 7695 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />Ln t.r) • <br />Q' Er <br />-11 -0 Miami <br />r- `` A L <br />ra Postage $ <br />C7 O Certified Fee <br />-�� Return Receipt Fee <br />I= C3 <br />C3 (Endorsement Required) <br />.� 0 0 Restricted Delivery Fee <br />(Endorsement Required) <br />E:3 C3 <br />ry ...�..�� Total Postage & Fees <br />its wauwwr_� 43 <br />fU <br />.�� <br />ent o <br />m2nnm�,� CO CO ;? k,.' t`�ILrr1 :� r.4.1L 1.X.1f!(rl_a, 7_III��I. <br />0 C3 or PO Box No. <br />°--4 ----------- <br />� � Clry, State, ZIP + <br />Postmark <br />Here <br />c" <br />15 <br />