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� <br /> � � a . <br /> . . , . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑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 item 1? ❑Yes <br /> 1. Artide Addressed to: If YES,enter delivery address below: ❑No <br /> I ��.C� C3J�S 4n , <br /> t1��3� ��' �la�e nl - <br /> 3. Serv Type ., <br /> ' (��_ 1A/�'1 `C%�'�n Certified Mail ❑Express Mail <br /> � N�;��! �YIN ���;r� ❑Registered ❑Retum ReceiptforMerchandise <br /> I � ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (rransfer from service labelJ ���7 �2 2� 0�0� 19 8 9 811,], <br /> � � PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; <br />