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� � e � � • � <br /> ■ Complete items 1,2,and 3.Also complete p. Signature <br /> item 4 if Restricted Delivery(s desired. X ❑Agent <br /> -- ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. e, Received by(Prtnted Name) C. Date oi oeiivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front ff space permits. <br /> D. Is delivery address different irom ftem 1? ❑Yes <br /> 1. ARicle Addressed to: If YES,enter delivery address below: ❑No <br /> �. Gnark.� �� '�al�ard� <br /> 33�� V� �{J�� 3. �e Type <br /> i �Certifted Mail ❑Express Mail <br /> Wa �,� yy�� Q� ❑Registered ❑Retum Receipt for Me�handise <br /> � '� ❑Insured Mail ❑C.O.D. <br /> 4. ResVicted Deliver�/1(Exha Fee) ❑Yes <br /> 2. Article Number __ __ ___ __ __ <br /> -_ _ _ ----- <br /> (Tiansfer from service label) 7�0 7 2 6 8 0 ��0 2 3 4 5 7 2 0 2 7 <br /> PS Form 3811, February 2004 Domesttc Return Receipt �ozsssoz-M-�sao <br /> . � <br /> . � � . . <br /> � �. � . <br /> 1'1J - "' <br /> N <br /> u'1 <br /> �' Postage $ , <br /> m vgAY MN <br /> Certified Fee <br /> � • �P ostmark ss <br /> � �. Return Receipt Fee � Here w <br /> � (Endorsement Required) �� �- {V <br /> � C JUN 181010 W <br /> �� Restricted Delivery Fee U <br /> � (Endorsement Required) <br /> � J $ 5�5� usP <br /> ...� Total Postage&Fees s <br /> ent o <br /> � ----------------- -rl_.f.�.�l..�...... --------..._---._.._._------ -- --------- <br /> � Street,A o• <br /> � or PO Bo <br /> ---------��.1-5.-- -��S _..�.....k�Q- -------- --------- <br /> ary,sre P+ �- � <br /> � <br /> :�� ��. <br />