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. . . . . . . <br /> � Complete items i,z,ati�3.Aiso complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can�etUrn the cafd to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address d'rfferent from item 1? ❑Yes <br /> �. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> C�C.�u��ntt- <br /> Z� c��� <br /> 3�ly� �f 3. �Se�rvi <br /> �V11V�1� �CertifiedMail ❑FjcpressMail <br /> � ❑Registered ❑Fietum Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restdcted DeliveryT(Extra Fee) ❑Yes <br /> 2. Artic�eNumber 70p7 p2�p ppp0 1968 7139 <br /> (Transfer from serv►ce labeq <br /> I i� i , : <br /> PS Form 3811,February 2004 Domestic Return Receipt ,�,�a�.�,.��_,��� <br /> � � <br />