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C: '�".� C'x� Si e, <br /> . . . • . . . <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. g. Received by(Printed Name) C. Date of Deli <br /> ■ Attach this card to the back of the mailpiece, ��,Z��� <br /> or on the front if space permits. <br /> D. Is delivery address different from item 17 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: �No <br /> UsQ T 0� <br /> ��� ���� � 3. Service Type <br /> �ertified Mail ❑Express Maii <br /> ' n� � n �e �w 1 `�?�!,. ❑Registered ❑Retum Receipt for Merchandise <br /> j� ��{�1. 1�1 ,�l.A,[JY/ ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, ArticleNumber �007 �22� 000� 1989 7749 <br /> (Transfer from service label) <br /> ; PS Form 3811, February 2004 Domestic Retum Receipt � ` �102595-02-M-154o <br /> ' ' � 64ySt�KQ.� <br /> � , � w ^f.. <br /> � I• • V•" <br /> � _-..�,,.�,a-�,...,,. <br /> � <br /> � w �p-z <br /> � Po$�9a $ i , o g <br /> � -- .._ , <br /> � Certliled Fee �, �� � ., . .. <br /> 0 Return Recelpi Fee tmark y <br /> Q (Endorsement Required) �. �3 a� ��fe � <br /> _ �,�J <br /> Restricted Delivery Fee ' <br /> � (Endorsement Required) ` <br /> � <br /> � �.� 3 `�: ���� � <br /> Total Postage 8 Fees g � <br /> CI • S�'�. <br /> M1 Sent To� �� <br /> � _ �' <br /> p Sr <br /> _..... _-- - -- -� - ----•---- ---••----�-•-------•-------•------ <br /> � � v58b �,a�5i(�2_ Rc� <br /> ------------------�--- <br /> (..�,t,{C�z Y�i°J 55'�.�(o <br /> :,, E� <br />