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NO <br /> SECTIONSENDER: COMPLETE THIS SECTION CONIPLETE THIS . . <br /> ■ Complete items 1,2,and 3. A signature <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. dresses <br /> ■ Attach this card to the back of the mailpiece, B. Rgcelv4d by(Printed ame) Gate of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes_ <br /> YES,enter delivery address beloWl o <br /> The Guarantee Company of North Anianca USA { <br /> One Towne Square, Suite 1470 <br /> Sougifield, MI 48076 <br /> II I'III�I I'II III I II II II III( I I I I II I I II III II I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaIIrM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Q Certified Mail® Delivery <br /> 9590 9402 2543 6306 1366 50 ❑Certified Mail Restricted Delivery ❑Retumha Receipt for <br /> ❑Collect on Delivery Mercndise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationm <br /> ❑Insured Mail ElSignature Confirmation <br /> _ 7 016 2140 0000 2345 7936 Insu <br /> over d Mail Restricted Delivery Restricted Delivery <br /> 00) <br /> PS Form 3811,July 2T1 5PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED p RECEIPT <br /> 0 DomesticOnly <br /> m <br /> Ln <br /> _-r Certified Mail Fee <br /> m $ F <br /> ru Postage: ` $0.460 <br /> o Certified Fee: JUN 28 2017 <br /> $3.350 ark <br /> o Return Receipt Fe $2.750 a <br /> O P ^ <br /> ,I- $ Total Postage and Fees: $6.56 <br /> 11-91 To ostage and Fees <br /> nJ <br /> S <br /> -B SPMT^ <br /> C3 The Guarantee Company of North America USA - <br /> One Towne Square, Suite 1470 ...------------- <br /> Southfield. MI 48076 <br />