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� ,,- <br /> , h� I' ' !. :.!'ti'_ �� �F1 <br /> � � � � <br /> ■ Complete items 1,2,and 3.Also compiete A. signatu��, <br /> r ,. �U I/�`�,.,i ❑Agent <br /> item 4 if Restricted Delivery is desired. �� ddressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. ' ed by(P' ted Name) C. Dat�7e�e=ry <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 1? ❑Yes <br /> 1, Article Addressed to: If YES,enter delivery address below: ❑No <br /> � c:�►�tn <br /> �� �1-�� �v 3. Se ' Type <br /> Certified Mail ❑Express Mail <br /> � H �/� N A�``��n ❑Registered ❑ftetum Receipt for Merchandise <br /> ����;` ��I X� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deliveryl(Extra Fee) ❑Yes <br /> 2. ArticleNumber 7007 022� �00� 1989 8036 <br /> (rransfer from service labeq <br /> PS Form 3811,February 2004 <br /> Domestic Retum Receipt 1o2sss-o2-M-15ao <br /> • • \�. � � ' <br /> -� �. - : • . : . - <br /> m _,..._ _ _ . <br /> 0 <br /> �o <br /> �' "� .. � — — � x <br /> �., <br /> Q"' Posta9e $ �� 5 `�� <br /> ,a ---- �- �Q <br /> Certified Fee <br /> � �Q�' o9tmark � <br /> 0 Heturn Receipt Fee Here � <br /> O (EndorsementReqwred) 2.� � I � <br /> Restricted Delivery Fee � <br /> (Endorsement Required) v �� <br /> aTotal Postage&Fees y�. � � � � �� <br /> � 1=�i <br /> _ — <br /> ase,u�1�0�.�_ - --- -- - �--------------------------------- <br /> � �� � 1�.1C� -�ve-�----------------------- <br /> � �- --- <br /> �. _ �;:,;� ,.. ��`'�� <br />