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2z <br />rcj, <br />M <br />ro <br />(Domestic .. Provided) <br />/�j/6) <br />Ir <br />m <br />o, <br />For delivery information visit our website at www.usps.com <br />$0.46 <br />' <br />M <br />Postage, $3.10 <br />, <br />o <br />Certified Fee- Fee: ,$2.55 <br />( EndRt Return Receipt o� <br />$s. <br />� <br />I <br />a &Fees,: Q (Enders Total Postag co <br />7afal Postage 8 Fees $ .� ��� <br />io <br />Sent o <br />y <br />_° <br />0 <br />fitreat, Ap£No:;�% �� //� c �{- I / <br />or PO Box No. O OS ! [ 1.e r r� /_ �J • ` D <br />_ <br />6 Cfata 71Pid i 1 1 if <br />dm e <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 />r "d J�cf�oy1 <br />? /Sd4 <br />A. Signature <br />X �t 4911 Agent L'A Addressee <br />B. eceived by (Printed Name) C. Date of Delivery <br />sa�t� <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: *o <br />3. Service Type <br />❑ Certified 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 7p10 1060 0001 0936 9683 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />