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S E N D E R: COMPLETE THIS SEC TION COMPLETE THIS <br /> DELIVERV <br /> ■ Complete items 1,2,and 3.Also complete A.r��item 4 if Restricted Delivery is desired. X Agent <br /> ■ Print your name and address on the reverse i <br /> ddressee <br /> so that we can return the card to you. yte;�- <br /> 1eived b Printed Name) Da Delivery <br /> ■ Attach this card to the back it the mailpiece,or on the front if space permits.. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> �.D 6 / 3. Service Type <br /> Af t^ ( �' L7) ❑Certified Mail ❑Express Mail <br /> r vil' 1 `� ✓ -- / ❑Registered O Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) p Yes <br /> 2. Article Number <br /> (transfer from servlo_ 7 01_4. 015 0 0 0 0 0 913 8 7 5 0 5 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595 02-M-1540 <br />