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• • 4 , ►► ► S <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A.,Sfgn• ure f, <br /> item 4 if Restricted Delivery is desired. /`X r \ 0 Agent <br /> • Print your name and address on the reverse /r/ ' ❑Addressee <br /> so that we can return the card to you. B. - elved by(Printed Name) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, /I <br /> or on the front if space permits. / pri r~ KO0/ 0/5// <br /> 1. Article •• I .elivery address different from item 1? 0 Yes <br /> A1gssed to: <br /> If YES,enter delivery address below: W No <br /> 31041 024. ✓ Rd 4)0 <br /> Gtoyicoc. Kaler pt4,6,d,,,,,, 44.00 57,30 p.. <br /> 5/ 17 3. Service Type <br /> dJ�F ...P-Certified Mail 0 Express Mail <br /> Cie <br /> L � `/ rr��� ❑Registered ❑Retum Receipt for Merchandise <br /> `/� ry "`:T7V�f 0 Insured Mail 0 C.O.D. <br /> J Ot12 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from servicelabe) 7007 0220 0000 1989 7886 <br /> PS Form 3811,February 2004 -Beewstic Return Recut 102595-02-M-1540 <br /> U.S. Postal Service,t., ,!, 5 _ <br /> CERTIFIED MAIL,., RECEIPT <br /> co (Domestic Mail Only;No Insurance Coverage Provid•. <br /> P- For delivery information visit our website at www.usps.com® <br /> o- Postage <br /> r-1 <br /> •l. <br /> Certified FeeEggiall ?/ <br /> Cal <br /> Return Receipt Fee /J • d <br /> P Here <br /> ;�� <br /> (Indorsement Required) <br /> QRestricted Delivery Fee " e 2rs Y <br /> coostm <br /> (Endorsement Required) <br /> v (()!f <br /> f"? <br /> ru <br /> ru Total Postage&Fees $3. 7,5 <br /> ,, <br /> O <br /> SentT _ !:),3':v <br /> Lzi <br /> T torii" K. <br /> D Street, I.No.;80"1... <br /> City <br /> PS Form 3801. August 2006 See Reverse for Instructions <br />