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SENDER: COMPLETE THIS SECTION <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 />1. Article Addressed to: <br />I tae S <br />Vic C ':boo Rot, <br />C.D `6 (� <br />2. Article Number <br />(transfer from service label) <br />PS Form 3811, February 20U4 <br />COMPLETE ' HIS SECTION ON DELIVERY <br />A. SI <br />X <br />B. Receive ayv r( d Name) <br />j D m tt O ?� <br />D. Is delivery a• • i- item 1? ❑ Yes <br />If YES, eAlelivery address�g w: ❑ No <br />3. Se e •e <br />Certified <br />❑ Registered <br />❑ insured Mall <br />DEC 0 5 201 2 ' <br />4. Restricted Delivery? (Extra Fee) <br />7010 1060 0001 0936 6545 <br />vornestic Return Receipt <br />❑ Agent <br />❑ Addressee <br />C Da o Delery <br />p ExP <br />etum Receipt ' fAerchandlse <br />❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />./n- -/ 9o-c 7 <br />/ /a,d7/ ,4 _ , <br />mos <br />