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. �. <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A Signa re <br /> item 4 if Restricted Delivery is desired. ) / ❑Agent <br /> ■ Print your name and address on the reverse X' �� �L— ❑Addressee <br /> so that we can return the card to you. B. ReceNed b (Print Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, � � � <br /> or on the front if space permits. r P� f' <br /> D. Is delivery address different from item 11 ❑Yes <br /> 1. �rticle Addressed to: If YES,enter delivery address below: ❑No <br /> ��,,►-�� ' e��c-K� <br /> � <br /> �y� �� A�- � <br /> 3. Service Type <br /> I ,.�'n/� I n Vn � �N ❑Cert'rfied Mail ❑Express Mail <br /> IJ�J�J ��`-'� `i� ❑Registered ❑ Retum Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Artic�eNumber 7007 022� Q00� 1987 6591 <br /> (liansfer/rom servJce/abel) <br /> PS Form 3811,February 2004 Domestic Retum Receipt io2ss�-o2-M-�sao <br /> 1 <br /> . � . <br /> . � , . . <br /> ,a .. . - . <br /> o- <br /> ,r� - - <br /> ..0 <br /> � �� <br /> � f � <br /> 0�., Postage $ . �,�`' <br /> ^ ^'� �;• ,:, <br /> � Certified Fee G YVl � <br /> �� Postrna�ic <br /> � Return Receipt Fee <br /> � "Endorsement Required) 2 . NoV �20'�'� <br /> O ' <br /> 0 -Hestricted Delivery Fee <br /> (Endorsement Required) � <br /> ,✓`�y� � <br /> � Total Pastage&Fees $ 5� � ����_Y�G�L� <br /> J <br /> O r,� <br /> � ent o 4/! �7' 1� T 114f� "`^'I/"n <br /> - ------- <br /> ---------- ---------------- ------------------ <br /> O �treet,A ' <br /> O or PO B�o�(o � � <br /> 2 �S1 �. <br /> �- ------------------- ------------------------------------------------------------------ <br /> Cdy,St e,ZIP+4 „�^n' <br /> r►►iv <br /> :�� ��. <br />