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1 � <br /> !t <br /> . , <br /> . , <br /> . . . <br /> ■ Complete items 1,2,and 3.Also complete ,�Siynatur� <br /> ■ Print youR ametand address on the everse <br /> ❑Agent <br /> so that we can return the card to you. � � `� — ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• R�eived by(Printed Name <br /> or on the front if space permits. � C. Date of Delivery <br /> � <br /> 1• ilrticle Addressed to: D. Is delivery address different from ft ? Yes <br /> If YES,enter delivery address below: ❑No <br /> �roo�- l nV�iric,�f-(�rou� <br /> ��.t �j�r+�e. �cn� <br /> 3. S ice Type <br /> �1 ��V R �� � ` a�O { �rtified Mail ❑Express Mail <br /> ❑Registered ❑Retum Recefpt for Merchandfse <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery7(Extra Fee) <br /> 2. Article Number �Y�s <br /> (TransferfromservkelabelJ 7��7 2680 0��2 3457 1662 <br /> PS Form 3811,February 2004 <br /> Domestic Retum Receipt � <br /> 102595-02-M-1540 � <br /> 1 <br /> ' ' �'� v4'�5h�r�lrrw <br /> . � <br /> � .. - : . " ... <br /> ..o -�. _ - <br /> � �P <br /> � . <br /> � <br /> � Postage $ <br /> m � gqy M <br /> � Certified Fee ��6r�. �Q,� �/s <br /> OlJ <br /> � Return Receipt Fee C/) Postmark trw <br /> p (Endorsement Required) �� N <br /> �' r MAY 0 5 201U w <br /> Restricted Delivery Fee (� <br /> � (Endorsement Required) <br /> � $ J,J4 <br /> ,,,p Total Postage&Fees +,��s <br /> fU --�..�. u <br /> _— <br /> p en��'•����J��_J-" ��-------------------- <br /> � Stre • `/y` s <br /> � orP�'� +','11'.��G. f�.�M1l,,`�" <br /> ------------- ' ------------ <br /> Cit tate.ZIP+4 . f - ------------�-------------------- <br /> :,, ,.. <br /> a��r <br />