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� • <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. 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 from ftem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> _ 5�1ext 1�r� <br /> ?^����� ��"_ � 3. Se TYPe <br /> � �Certified Mail ❑Express Mail <br /> n '❑Registered 0 Retum Receipt for Merchandise <br /> ��/` �� ������� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(E�ctra Fee) ❑Yes <br /> � 2. ArtieleNumber 7��7 o22a aaao 1989 8�74 <br /> (rransfer 1rom service IabeQ <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />