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■ 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 />Z'l` lug <br />X33 <br />'-'VT� 1 CIC5 <br />Rr� 610 <br />A. §rgnat <br />$A <br />gent <br />❑ Addressee <br />B. ived by ( Printed Name) C.—Pate of gelive7 <br />D. Is delivery address different from item 1? ❑ As <br />If YES, enter delivery address below: ❑ No <br />3. Sery Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Maii ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 1060 0001 0936 7900 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 ; <br />A'1—' <br />