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� . . <br /> i <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Si nature <br /> item 4 if Restricted Delivery is desired. � �1, gent <br /> ■ Print your name and address on the reverse �� Addressee <br /> so�hat we can return the card to you. B. Received by(Printed ame) C. Da of elive,ty <br /> ■ Attach this card to the back of the mailpiece, �- (, <br /> or on the front if space permits. <br /> D. Is delivery add different from item 1? �S <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> ��eSex'VA�ion �ro.�e,'�iU Ll� <br /> �6 t3o� .� <br /> 3. Service Type <br /> ��I •„,�� f�� �/Y�;t� �Certified Mail ❑Express Mail <br /> yY\ J �•��•�� ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Exira Fee) ❑Yes <br /> 2. Article Number <br /> (rransfer from seMce label) 7 0 0 2 �510 �0 01 6 3 0 6 0 2 5 4 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102585-02-M-1540 <br /> • � _ , <br /> . ' � - '. �Ni1 ��: ���Stt�� i <br /> � <br /> .. , : <br /> � <br /> � <br /> 0 <br /> � •�.— S�PL AY <br /> � Postage �S � <br /> rn � 2 <br /> '� CertifiedFee ���� Q` <br /> � � <br /> � Return Recelpt Fee — �Qy riark (j1 <br /> O (Endorsement Requiretl) 2�� ����9 N <br /> O I------- �U <br /> � Restricted Delivery Fee � <br /> (Endorsement Required) � <br /> O �-- S`JS <br /> r-� Total Postage&Fees <br /> �, .$_5�__! <br /> O Sent To - �—� - -- -- <br /> -' '�N�.��. l� <br /> �, -_ �esei'dQ On <br /> Street A - �- <br /> _ -- — <br /> o.: � -- - _.. -- -------- <br /> � or NC 9 � <br /> O _ �_ <br /> — <br /> � City Stale,�iP-4� . - - ------ <br /> :� <br /> rn� s��� - <br /> „ -o� <br />