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SENDER: COMPLETE <br /> ■ Complete items 1,2,and 3. A. Sig t <br /> X ure <br /> ■ Print your name and address on the reverse Agent <br /> so that we can return the card to you. A�y. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Aeceivqd by(Printed C. Date of I elivery <br /> or on the front if space permits. n/ (ry Z/ <br /> 1. Article Addressed to: D. i different from item <br /> 1 �1 S�IJ en c��' a' �ad pelow: ❑No <br /> /T T O <br /> �Rq� LSlA�O �es�K�I�•S /p��� ;�8z021 <br /> /:o• eo-x 31% OCT 0 J id N/ gMAT/p <br /> ti��I,+NQ, 0 N <br /> I Ilill III II I II III II III IIIII I ()I I II III Mail Express(D <br /> o dint Sig tur�Restricted Delivery ❑Registered Mail Restri tec <br /> 9590 9402 4401 8248 9097 73 Certified Mal® Delivery <br /> Certified Mtil Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"' <br /> ail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 5 012 jil Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />