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'# w <br /> nr. <br /> SENDER: COMPLETE THIS SECTION COMPLETE TP;O SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Sip:,1 4T4- ` <br /> item 4 if Restricted Delivery is desired. X 0 Agent <br /> • Print your name and address on the reverse 0 Addressee <br /> so that we can return the card to you. B. Re e'v ed/by(P\rin . e) C •.te of live <br /> • Attach this card to the back of the mailpiece, ��'\ /J?I ' ' rY <br /> or on the front if space permits. `�1 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: 0 No <br /> RC(- 0• -I (tell <br /> 1153 • • I \toW WS 3. �ServviceType <br /> W a ��`L�,, _ � Ja certified Mail ❑i F�cpr <br /> x <br /> �2a'V` , 5(]'/ ❑Registered 0 f erchandise <br /> ❑ Insured Mail r' <br /> 4. Restricted Delivery.? 0 Yes <br /> 2. Article Number _ ✓ <br /> (Transfer from service label) 7007 0 2 2 D 0000 ],9 8 9 7893 <br /> PS Form 3811,February 2004 Domestic Return Receipt 1 omssoigi,A4o <br /> U.S. Postal Service TM <br /> CERTIFIED MAIL,,,,., RECEIPT <br /> Ir (Domestic Mail Only;No Insurance Coverage Provided) <br /> m <br /> N. For delivery information visit our website at www.usps.come <br /> * s ! g -, ) <br /> .0 L" <br /> Postage $ r 1.15 <br /> 0 Certified Fee INIMI <br /> Return Receipt Fee Postmark <br /> (Endorsement Required) 2.35/ Here <br /> Restricted Delivery Fee ^ \ <br /> p (Endorsement Required) <br /> ru <br /> ru Total Postage&Fees <br /> N Sent Ta CI Ma l[ ill p <br /> 6V <br /> C3 Street. •.,:b <br /> ..• -- <br /> City,S. i ; 4--- <br /> 1 V. / t -IMP-11. <br /> PS Form 3800.August 2006 See Reverse for Instructions <br />