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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X icr\ t n f 1,,,, : i gAgent <br /> • Print your name and address on the reverse � ) 1"�' -J- f """"t Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Deli ery <br /> • Attach this card to the back of the mailpiece, <br /> or on the front if space permits. ' (4t- - \\Al f VA\ri —O <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> ... irl. ' 0ero i <br /> 043 <br /> 1J� 'y^� netra.„ five_ E 3Cr`/`C. Service Type <br /> ertified Mail 0 <br /> Express Mail <br /> 0 Registered ❑ Return <br /> Receipt for Merchandise <br /> ❑ Insured Mail El addal 144N / A,--L/ <br /> 4. Restricted Delivery?(Extra Fee) El Yes <br /> 2. Article Number 7007 0220 0000 1989 8661 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 1025S5-02-M-1540 <br /> U.S. Postal Service TM <br /> CERTIFIED MAILTM RECEIPT <br /> '-a (Domestic Mail Only;No Insurance Coverage Provided) <br /> "n For delivery information visit our website at www.usps.com® <br /> D : t !iii <br /> co <br /> • <br /> Postage A , `.. I ��1, <br /> Certified FeeMEM �r\, <br /> E3 Sotmark a\I <br /> D Return Receipt Fee <br /> O (Endorsement Required) 2,30 , dere x,1, <br /> O / \'r <br /> Restricted Delivery Fee t <br /> ED (Endorsement Required) <br /> ru111:4;11111r3 �. <br /> ru Total Postage&Fees <br /> O <br /> r- Sent To ore) <br /> I f^ <br /> O <br /> Q Street,A. Na; <br /> N or PO c iD ' -Y-v-AI-l-'_Letakl a_! e <br /> arys ; r ! . i a A N ar ' L <br /> PS Form 3800.August 2006 See Reverse for Instructions <br />