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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 />A. Slgn <br />❑ Agent <br />❑ Addressee <br />B.- Rec)ived by Printed Nam C. Date of Deliv ry <br />D. Is delivery address different from item 1? ❑ s <br />If YES, enter delivery address below: (No <br />2�ta3 C�3�� /u <br />yon S i CO �7 - l 3. Sery ype <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 7010 1060 0001 0936 7924 <br />(Transfer from service label) - <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />M-S <br />n9l�c. <br />