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X5 C 1 <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <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 /> 1. Article Addressed to: D. Is delivery address different from item 1? d Yes <br /> If YES,enter delivery address below: ❑No <br /> A <br /> Wind. `� II��a��► <br /> �L+ 3. S Type <br /> ` /"Certified Mail ❑Express Mail <br /> N ❑Registered ❑Return Receipt for Merchandise <br /> [3 Insured Mall ❑C.O.D. <br /> A. Restricted Delivery?(Extra Fee) ❑Y. <br /> 2. Article Number <br /> (-ranter from service labeg 700_7 0220 _0_000 1989 8241 <br /> Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 J <br />