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� L � � , Lt:�'� � <br /> � • • � • • � <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is ciesired. X ❑Agent <br /> ■ Print your name and address on the reverse O Addressee <br /> so that we can return the card to you. B. Received by(Printed 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 delivery address different from item 17 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> C�T �,V�,� y1I�'� U.�- <br /> � <br /> 1(1�� ,�� �'�, �t 3. Se ice Type . <br /> ��� ified Mail ❑E�tpress Mail <br /> Registered ❑Retum Receipt for Merchandise <br /> � �� `C�j��' ❑Insured Mail ❑C.O.D. <br /> ��� , <br /> 4. Restricted Deliver�/l(Extra Fee) ❑Yes <br /> y��5 <br /> � <br />