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CSI 11c► �) -- o �fl <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 />Article Addressed to: <br />7 <' � Y� "ky �* \� <br />A. Signature <br />t;771ill(t- <br />D. , ❑Agent <br />O Addressee <br />Is delivery address different from ftem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />U. Service Type <br />V�Certlfled Mail ❑ Express Mall <br />Registered ❑ Return Receipt for Merchandise <br />E3 Insured Mail ❑ C.O.D. <br />4- RPQMi #-I <br />2. Article rfrom Number <br />service label) 7012 3460 0000 6384 8208 <br />transfer from l) - <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595.02 -M -1540 <br />Postal <br />RECEIPT CERTIFIED MAILT. <br />cc <br />O <br />(Domestic man Only; . <br />-- Postage: <br />co Certified Fee: <br />$3.30 <br />m Return Receipt Fee: <br />$2,70 <br />C3 Total Postage & Fees: <br />$6.69 ,e a `k <br />C3 <br />C3 Restncted Delivery Fee <br />(Endorsement Required) <br />_r Total Postage & Fees <br />M <br />Sent To_ t <br />9 <br />r-- <br />------------------------- <br />Street, Apt. No.; --------- -- - - - - -- - <br />or PO Box No. 0 • 13 d <br />------- ---- ------ - �5 <br />Ciry, State, ZlP +4 -----------------------------°--------------- <br />`/--, <br />f a- c <br />P-S Form 3800, August 2006 See <br />Reverse for Instructions <br />