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_ ___-._.._ t... .-- �-��- - -_ _ <br /> . , ,. , . ., �. . :. <br /> . . . . . . . <br /> � ■ Complete items 1,2,and 3.Also 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 return the card to you. B. Recelved 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 different from kem 17 ❑Yes <br /> 1. Artic�e Addressed to: If YES,enter delivery address below: ❑ No <br /> Ja� �� <br /> 13� �e��- �b+r►�- �'r�� 3. Service Type <br /> ��� �� C`�� ��ttified Mail ❑Express Mail <br /> ❑Registered ❑Retum Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Deliveryl(Extra Fee) ❑Y� <br /> 2. ArticleNumber 70p� p220 aaoo 1987 66�7 <br /> (liansfer from service/abel) <br /> 4 PS Form 3811,February 2004 Domestic aeturn Receipt �ozess-o2-►�-isao� <br />