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S � <br /> � • • � • • � <br /> ■ Complete items 1,2,and 3.Also complete �. Signature <br /> item 4 if Restricted Delivery is desirec;., X �1 ❑A ent <br /> ■ Print your name and address on the rav,erse � —❑ dressee <br /> so that we can return the card to you. B. Received by(Pnnted Name C. te f ' ry <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. �C � , '� <br /> D. Is delivery ad ress different from item 1? Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> C�Ivary Me�u��al <br /> C�r�s�ia� �c�o� <br /> � 3. Service Type <br /> ^ ,� �t It����/ (�-6ertified Mail ❑ Express Mail <br /> ��Y �r.�� ����u�� ❑Registered ❑ Return Receipt for Merohandise <br /> �� �� M, . j `r���� ❑ Insured Mail ❑C.O.D. <br /> ,���: ��� 4. Restricted Delivery7(Exira Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7��2 0 510 0�01 6 3 0 6 0 8 0 3 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> • • - <br /> � � <br /> �. • <br /> m <br /> 0 <br /> � <br /> o . <br /> -- -- __ <br /> � ` � - <br /> � Postage I ��� . �, <br /> `p Gertified Fee 1 � •/ � �' �'�f`'B'4 y i <br /> i__ <br /> ._io• � Nostm�. A <br /> Return Recei t Fee '� HF'� �� <br /> � (Endorsement Required) ' 2••� V AUG � <br /> � <br /> ORestricted Delivery Fee �4� � <br /> Total Posta e&Fred) <br /> o ,5��'__�� �sp <br /> � g ees <br /> 1.J'7 .. ._. - ---- <br /> fU StritT �� �V'W��N�� Vt/l• .W.\ tlN�'r" <br /> - �IVa - <br /> ee`�w I�nwoa+y A�,r� . <br /> 0 0���. <br /> o � �Q��� YV�N ��3q1 _ <br /> � � <br />