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� ' <br /> � ,,-�•'v i�lh' ?,� <br /> . m . � • � � <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Recexi d b (Printed Name) C. Date of Deiivery <br /> ■ Attach this card to the back of the mailpiece, +y C�S(��j }-j��r�:���,�� <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> �Yl�. OF �YVICYI�a.���-�4QY1 r''�f' <br /> �{�Y��. CA{D -QlQ'0�-�I 1�i0101{i0� �=_.,.�` '` <br /> � Nafio� Wa� 3. Se ice Type ,�°� <br /> �rtified Maii ❑Express Mail <br /> '/� r� ❑Registered ❑ Return Receipt for Merchandise <br /> ��m� vAIW� � V 1 Q�� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transferfromservicelabeq . ;. , 7��7 0220 D000 1,989 8678 <br /> ; PS Form 3811,February 2004 Domestic Return Reoeipt �o25s5-o2-M-isao <br /> ` 1f66 Ct��t✓1 t,r✓ A�re. <br /> . • <br /> . , <br /> � .. . <br /> � . : _ ,_.�. : _ ..., _ _ <br /> � <br /> � <br /> � �� :. � � �u �� . <br /> - --�— <br /> � •�' <br /> �' Postage � <br /> � 2 �-_ <br /> Certified Fee <br /> � — Postmark <br /> 0 Retum Aeceipt Fee �• jfl �Here �� <br /> 0 {Endorsement Reqwred) �J ' � <br /> � � <br /> Restdcted Delivery Fee f'!r� � <br /> � (Endorsement Required) � � <br /> q � <br /> fU Total Postage&Fees $ 5.�� N <br /> p —_----- n ' > <br /> ---- <br /> Se T "'� <br /> o � �'1K a _.�'�c?�'►c.�-�-- ------L�h-----------=-------- <br /> � �. ��fic���� �v��_ -- -- - - ---------------------- <br /> �► ti�� a I CA� R.��cS <br /> :,, ,,. <br />