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1 <br /> •'� • �� <br /> I <br /> , • � / � � � <br /> _ - ,_ ■ Complete items 1,2,and 3.Also complete A Signature <br /> Rem 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. g. Received by(Pr/nted Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> a or on the front if space permits. <br /> D. Is delivery address differeM irom Rem 1? ❑Yes <br /> ^ 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> � �� �So � <br /> `� (� �,.. J 3. rvice TYPO <br /> �'CSrtifled Mail ❑E�ress Mail <br /> �(� �f j� IAA A r `�, ❑Registered ❑Retum Receipt for Merchandise � <br /> �n I'� �� ����r ❑insured Mail ❑C.O.D. <br /> 4. ResMcted DeliverYl(Extra Fee) ❑Y� <br /> 2. ArticleNumber 7p07 268� aoa2 3457 1983 <br /> (Tiansfer from service labe� <br /> ; PS Form 3811,February 2004 Domestic Retum Recelpt 102595-02-M-1540; <br /> � <br /> - � <br />