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. — i <br /> � • • • • � � <br /> ■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. X � � Y�ent <br /> ■ Print your name and address on the reverse - ❑Addressee <br /> so that we can return the card to you. g, ived Printed Name) C. Date of Delivery <br /> ■ A �h this card to the back of the mailpiece, � e j� � ��� 31Z.� �L <br /> or�the front if space permits. L-t <br /> D. Is de ery address different from item 1? ❑Yes <br /> 1. Article Addressed to: It YES,enter delivery address below: ❑No <br /> �C�fi�- (� �K��- <br /> '�,�5 S� � � <br /> 3. Service Type <br /> � ,-w_1 ``!�+�.�G/ _ rt�ed Mail ❑Express Mail <br /> �;�y� Y��N � ::r Registered ❑Retum Receipt for Merchandise <br /> �• `1 ❑Insured Mail ❑C.O.D. <br /> `J 4. Restricted Deliver�?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (fransfer/rom service/abel) 7 0�7 0 2 2 0 �0 0� 19 8 7 7 611 <br /> PS Form 3811,February 2004 Domestic Retum Recelpt �o2sss-oz-M-isao <br /> . � <br /> 4 V' <br /> ' � 3 <br /> . � � ' <br /> rl �� • ' _. <br /> rl _, <br /> ..0 <br /> � . i <br /> � ' .. .„� '�� <br /> � i. �: �. <br /> 0" Postage $ � <br /> rl ^ .� _ <br /> Certified Fee / " <br /> p v r stmark <br /> � Retum Receipt Fee n j re <br /> O �Endorsement Requlred) („ <br /> O <br /> Restricted Dellvery Fee � �0�� <br /> � (Endorsement Required) <br /> N <br /> ft1 Total Postage 8 Fees � ,5 s <br /> O <br /> � Sent f <br /> p � ' --� �-------'--'--'------- <br /> ._. <br /> ��----------- - -----�= - <br /> � s��,��� �1 <br /> � o,� -------------- <br /> cir�.s ; <br /> ------- -•-- <br /> ---- - N- -- ---------------------- <br /> ��. <br />