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H-100q-0--qo <br />SENDER: COMPLETE THIS SECTION <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 />4 , oIC `Lel/ <br />O.3' la7N <br />:426 ,Lo pr 5 , Cc7 (iO ! cz <br />COMPLETE THIS SECTION ON DELIVERY <br />�. turee <br />(VA <br />/%( <br />MI <br />Agent <br />Addressee <br />116) Received by (Printe Name) C. Date of Delivery <br />KfU" <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 Nil' <br />c 2 2'" <br />3. Servic e <br />edified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express" <br />❑ Return Receipt for Merchandise <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 0150 0000 9138 9493 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />