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~7~ <br />S ~3 <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 />~'~. l3ax av, ddo <br />G~~,~~ ~4~c.~'v~, ~o <br />8 l~'o / <br />A. Signature <br />Agent <br />^ Addressee <br />B. Received by (Printed Name) C. Date of Delivery ' <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ,ENO <br />3. Service Type <br />Certified Mail ^ Express Mail <br />Registered ~ ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(transfer from service la6e~ ?oa 7 /~ jp OD 6 .~ 78 ~ `T Q(o 9 t~ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ~ <br />