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� ' <br /> • o�'e►i r. <br /> . . . , . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> ❑Agent <br /> Rem 4 if Restricted Delivery is desired. ."�$'&�?�$�)Z� �-?��t�r-��p� ❑Addressee <br /> ■ Print your name and address on the reverse <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 d' erent Rem 1? ❑Yes <br /> 1. rVticle Addressed to: If YES,enter delivery address below: ❑ No <br /> [�U�,BQnK- IJ� � TYI�St' <br /> �C ,�rr,� (.o�n ser�;c�r� <br /> 3. Service Type <br /> 4+A'1f`1 �/�1���/ u f�� �a� �rtified Mail ❑ Express Mail <br /> d v�/ V rl«I 11 �Y �J�� <br /> � ❑Registered ❑Retum Receipt for Merchandise <br /> ��i �^'I�`', �� �� ❑ Insured Mail ❑ C.O.D. <br /> « j 4. Restricted Delivery7(Extra Fee) ❑Yes <br /> 2. ArticleNumber 7p07 0220 ooao 1987 7666 - <br /> (riansfer from service label) <br /> PS Form 3811,February 2004 Domestic Retum Recelpt 102595-02-M-1540 � <br /> . � <br /> . ,_�,�, aret i►�,t.� <br /> ..o � � • <br /> .� �. , <br /> � h. <br /> � <br /> � �, { �'`"�� +� ,�n;�, <br /> 0-. Q� <br /> � Postage $ � <br /> /1 / <br /> p Certified Fee •� . �� <br /> o . �.. <br /> � ' Retum Receipt Fee /� . � .�,� <br /> � (Endorsement Required) L <br /> �(�, <br /> ResMcted Delivery Fee � ,,, �,� <br /> p (Endorsement Required) , <br /> fl.l <br /> � Total Postage$Fees � /) <br /> O � <br /> c.i � �'� <br /> f� s r '--__ ''� ; <br /> o � ��,U}S�,Y, K . <br /> o �n � � <br /> .------- ,� <br /> 40 ------ . <br /> --------- �--- � <br /> p -----------------------=------�.. _ <br /> �- m��w�c� �a� : , _ <br /> S' 11 C.f� -------.- <br /> a ---.---_--_-------- <br /> :,, ,,. ot� <br />