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� �E�.S�o � wr�� <br /> . . . • . . . <br /> ■ Complete items 1,2,and 3.Also complete A. sig ture <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we Can return the card to you. B. Rece by{�rJn�ed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, (� �. ,\ <br /> or on the front if space permits. "� <br /> D. Is ry address diffe from item'1? ❑Yes <br /> 1. /:rticle Addressed to: I YE ,enter delivery a s below: C�,No <br /> C <br /> � LVC�.�'le �� <br /> �-(��Yl� 1� �9 ���,; <br /> 7� CI ( 1 V��� 3. Service Type <br /> �'Y�❑Certified Mail ❑Express Mail <br /> �\�� �� �/�� ❑Registered ❑ Retum ReceiptforMerchandise <br /> L��� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deiivery?(Extra Fee) ❑Yes <br /> 2.Artic�eNumber 70�7 0220 0000 1989 7596 <br /> (rransfer from service/abE <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-7540 <br /> ' • • rJ' l0 8� �Ul,f'�l-� <br /> . � �, <br /> � .. . _�..��,.,.�,..: <br /> � <br /> � �F <br /> a � <br /> � � <br /> � <br /> Q' Postage $ � <br /> � ^ <br /> Certified Fee �/ � '��,�N SJn <br /> O Li <br /> � ReWm Receipt Fee Pos <br /> � (Endorsnment Requlred) 2 � �O�re w <br /> Restricted Delivery Fee � �� <br /> � (Endorsement Required) ��� <br /> OTotal Postage&Fees $ 5 � � �Q� <br /> � Sent To <br /> � ------------�1�---?��yur1�------------------------------- <br /> p Street;ApL N <br /> � or PO Box No�� �r�'�� I�/`Q� <br /> -----------�------------------------- - - ------------------- <br /> Ciry,State,ZIPy4,`'��, �� �� <br /> �V�J�l <br /> :�� ��. <br />