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� t <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A- Sign <br /> item 4 if Restricted Delivery is desired. __._—.__ ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. g, �e�� y�p�nted Name) a C. Date f Delivery <br /> ■ Attach this card to the back of the mailpiece, �• ,� <br /> or on the front if space permits. �� � - <br /> D. is delivery�ress different irom item 1? es <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> -T-�� �.er�dr►c�. <br /> �� �� <br /> �?� ���CJ���� "'" ' 3. ServiceTYPe <br /> �� �`3-� ,1 �ertified Mail ❑Express Mail <br /> `�,!�`,�� ❑Registered ❑Retum Receipt for Menchandise <br /> YV � ❑insured Mail ❑C.O.D. <br /> 4. Restricted DeliveyT(Extra Fse) ❑Yes <br /> 2. Article Number <br /> (rranster i►um serv►ce�at�e►) 7 0 0 2 0 510 ��01 6 3�5 9 814 <br /> ; PS Form 3811,February 2004 Domestic Retum Receipt �ozes�z-nn-isao; <br /> ' • • Q�� �N5 EA,i Cc. <br /> � <br /> . , ��� : <br /> � .. : . , <br /> � <br /> � - <br /> o _ ; . <br /> � <br /> � Postage $ , <br /> r� <br /> � 'A <br /> o cernr�ed Fee Z,� - 9 <br /> � Retum Recelpt Fee �ostmark '� <br /> � (Endorsement Required) 2,� <Here �''' <br /> �estricted Delivery Fee � ` ��J <br /> p (Endorsement Requlred) - <br /> �' ,5 .5 4 <br /> � Total Postage 8 Fees $ <br /> O <br /> OSent Tq�.� ��--- � <br /> o , � _.�- - -----------� --------------- <br /> -- --- <br /> � ' �Z-2 ------F�Q,�e,_.___.�er _ _ �bZ-------- <br /> � san �' c�� 4 Z- z <br /> ,,. <br />