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l <br /> � hl�."'�, o <br /> � � <br /> � � • • . <br /> ■ Complete items 1,2,and 3.Also complete A. Sign�wr�e <br /> item 4 if Restricted Delivery is desired. / ����%������Agent <br /> ■ Print your name and address on the reverse � ❑Addressee <br /> so that we can return the card to you. B. Rec iv d y(Printed Nam) C..Date Rf Delivery <br /> ■ Attach this card to the back of the mailpiece, ��J� y�tc�ci+.�qS�L� (r� �`/'-�',3' <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: (�No <br /> ��� <br /> �,hc1�S�r��; Ih�. �_ <br /> �(o �dv�� -�r� <br /> 2(?f•.f� �� C��' 3. Service Type <br /> _��, <br /> C.�y p-� �6eQified Mail ❑Express Mail <br /> V,� �i` �'1 J11�"' � ❑Registered ❑ Return Recefpt for Merchandise <br /> a� � <br /> '� � • `�� ❑Insured Mail ❑C.O.D. <br /> f1l���n� N 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. ArticleNumber �OQ2 0510 0001 6305 9548 <br /> (Transfer from servlce/abel) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> • ��,y1Q./ �� <br /> � � <br /> �. � - . ,'' _, ._,.,. <br /> �O <br /> � <br /> t.r'1 <br /> �' <br /> ,,, �,B M�1I <br /> Q Postage � � 4� ,�P -✓� <br /> m ���`'� � � <br /> � Certified Fee <br /> � ��`��2008 N <br /> ,� Return Receipt Fee �I�)'+.. C.� W , <br /> � � (Endorsement Required) ll � <br /> � Restricted Delivery Fee <br /> � (Endorsement Required) ..USPS <br /> O F <br /> � Total Postage&Fees $ cJ e�� � _ <br /> � ntTa Aii ' � ��/(� <br /> �/,Y �v( � <br /> ru s �"_._�' -- . - - --- -- ---- -- -- --- -- - --�- --- -- -•---- <br /> _ ����- ��-�"-�- <br /> o �� �ps ��; <br /> o� � ���sta= <br /> ----------------- -------------- <br /> y, tate Z P+4 <br />