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3N11 03 'ot11V'OIOd`SS3HOOV NHn13H 3H1 d0 - <br /> 1HOIH 3H1 O13d013AN3 40 dO11V H3x01/S 33Vld <br /> by <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ <br /> Complete items 1,2,and 3.Also complete A. Signature <br /> Item 4 if Restricted Delivery is desired. <br /> 0 Agent <br /> IIPrint your nanfte and address on the reverse X <br /> so that we riitt return the card to you. ❑Addressee <br /> • Attach this card to the back of the mailpiece, B Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <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 /> Daw <br /> M. 51-i I i novtch <br /> 3554 Ly rc. Ave, <br /> Y V GIy ZQ _ I 3. Service Type <br /> N �`�l� cZr.Certified Mail 0 Express Mail <br /> ❑Registered 0 Return Receipt for Merchandise <br /> ❑Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7007 0220 0000 1989 8746 <br /> I PS Form 3811,February 2004 Domestic Return Receipt....... _ 102595-02-M-1540 <br />