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. . . . . . . <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. 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 different irom item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> �,Y�Y1�f1 �-- i��.- �I`� <br /> ��^� �,�e�, 1 i�.� N� - 3. rvice Type <br /> ` � T(�I� 1 r�•� /�Certifled Mail ❑Express Mail <br /> r d Registered ❑Retum Receipt for Merchandise <br /> �� N` •r `���� ❑Insured Mail ❑C.O.D. <br /> �rt�v 4. Restricted Deliveyl(EM�a Fee) ❑Yes <br /> 2. ArticleNumber 7007 268� 0�02 3457 1969 <br /> (fiansfer t►o►►►servrce►abe►1 - <br /> PS Form 3811,February 2004 Domestic Retum Receipt �ozsss�oz-n�+-�sao <br />