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. .�.. ��', 4 3 <br /> � � . • � �t•{�'�� 't 1 ` , <br /> �}-� <br /> t ty�. <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if ResMt�ed Delivery is desired. X �/ �j �Agent <br /> ■ Print your name��nd address on the reverse ❑Addressee <br /> so that we can , tum the card to you. g. Recelved by(Printed Name) Date�Deliuerv <br /> ■ Attach this to the back of the mailpiece, I �/�! <br /> or on the fronf'if space permits. <br /> D. Is delivery address different from item 1? ❑Y� <br /> 1. Articie Addressed to: If YES,enter delivery address below: ❑No <br /> �a�ul �� <br /> zq� c�;� �-- '� <br /> 3. Serv Type <br /> � I r G I �ed Mail ❑Express Mafl <br /> �Q �.� �N `/�!�� ❑Registered ❑Retum Rece(pt tor Merchandlse <br /> � ❑Insured Mail ❑C.O.D. <br /> 4. ResVicted Deliver}/7(Eztra Fee) ❑Yes <br /> 2. ArUcleNumber 7pp7 0220 0�00 1987 7574 <br /> (fransNer from seMce labeQ <br /> PS Form 3811,February 2004 Domestic Retum Rece�pt �o25s�-o2-M-��4o <br /> . � <br /> • � � . . <br /> � <br /> �.. i. • <br /> �7 <br /> f� <br /> � �� a <br /> � Postage � � <br /> ^ ..�.� Cn <br /> Certified Fee L� p CJ� <br /> o,-� � � <br /> � Retum Receipt Fee o mark ' <br /> � (�ndorsement Required) 2. �5 ,�- �lere lJ; <br /> � <br /> Restricted Delivery Fee w <br /> p ,Endorsement Requlred) �i. j . <br /> QTotal Postage&Fees ��� ", , <br /> � Senf Tp � <br /> � �I� ���_ <br /> --------- <br /> O Street,A -- -------`•----•---- <br /> f'� orPOBo��� �� �� �-------------------------- <br /> __ -------- . . -- <br /> ;<�,,��aYu�fa rv�N <br />