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w � , <br /> � • . . . . . <br /> ■ Complete items 1,2, and 3.Also compie�� \� ���Q-��"- , " ' <br /> item 4 if Restricted Delivery is desired. �� � gent <br /> ■ Print your name and address on the reverse X>�`��� Gl��d ❑ d ee <br /> so that we can return the card to you. g. Received by(Printed N e) C� el�eyry <br /> ■ Attach this card to the back of the mailpiece, l� <br /> or on the front if space permits. <br /> D. Is delivery address different hom ftem 1? Y <br /> t. Article Addressed to: If YES,enter delivery address below: ❑No <br /> �� � <br /> Z�� (� � � 3. Servfce TYPe <br /> �� �� ``,�,.�A� �rtifled Mail ❑Express Mail <br /> WA_t ��;�A ❑Registered ❑Retum Receipt for Merohandise <br /> u�` ❑Insured Mail ❑C.O.D. <br /> 4. Restricted DeliveryT(Extra Fee) ❑Yeg <br /> 2. ArticleNumber 7007 268� ��02 3457 1648 <br /> (riansfer from servlce/abel) <br /> PS Form 3811,February 2004 Domestic Return Receipt �ozssso2-nn-�soo <br /> . � <br /> � � . . <br /> ca �. • <br /> S <br /> ...� - - �n <br /> r� ;�'�"" .. �. .. � ' <br /> � � <br /> � . . <br /> � Posta9e $ � �,�PL Bq y <br /> m � •�2 <br /> Certitied Fee � �Qb Q <br /> � �� Postmark � <br /> p Return Receipt Fee V /y U� <br /> � (Endorsement Required) Ay�� <br /> o ��10 n�i <br /> Restricted Delivery Fee Cu <br /> (Endorsement Required) <br /> ,� Total Postage&Fees $ �•5� �SP�� ' <br /> fU � <br /> Sent To � � . � O� <br /> f�- <br /> O ----------------�------------ -•-- -----------------------•-------------- <br /> � Street,A /� <br /> � or PO Bo (��(� <br /> -----•----------W.VF��---- ---------- -----------•-------------------- <br /> City,State,ZIP+4 � <br /> :�� ��. <br />