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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 mailplece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />- Ave, uc <br />A. Signature <br />X <br />13 Agent <br />❑ Addressee <br />B. Received by (Printed Name) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3, Serv1oe Type <br />ertiled Mail ❑ Express Mail <br />❑ Registered' -❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />11: 2810 0001 0714 7701 <br />U.S. Postal Service,, <br />CERTIFIED MAIL :. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />—N W For delivery information visit our vrebsite at www.usps.com;, <br />Postagis $ <br />Certified Fee <br />C3 <br />C3 <br />Postmark <br />Return Receipt Fee Here <br />C3 <br />(Endorsement Required) <br />O <br />0 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />O <br />❑ <br />�ar•� rq <br />� <br />Total Postage & Fees $ <br />fU <br />ru <br />cc) <br />o <br />co <br />o <br />eni To . I <br />l_Ec cor—dcr-- ----------------- <br />M <br />0 <br />l <br />or PO Box No. I (; �� ' T ri k� e n u f <br />---° ° -° <br />- ----------------------------------------- <br />c , srate, <br />PS Forin :11 2006 See Reverse for Innuctions <br />