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� � - � <br /> R6: 3415 <br /> � • . . <br /> . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signa <br /> item 4 if Restricted Delivery is desired. X A n <br /> ■ Print your name and address on the reverse 7� ssee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, B• Received by(P�te����. Date of Delivery <br /> or on th�� � ,t if space permits. <br /> 1. Article A�ssed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> �e�;ru� �NafiOr� <br /> �� z A�• <br /> �}� j� 3. S rviCe T e <br /> 1�'1 7 J I ljj��rt ( �u� '�YI1 1 � ) YP <br /> ��� �,� u��� � �-�.Y� �`�' �9ertifiedMail ❑ExpressMail <br /> � ` ❑Registered ❑Retum Receipt for Merchandise <br /> ��� �� � �`1�"N' ❑Insured Mail ❑C.O.D. <br /> r <br /> � — � 4. Restricted DeliveryT(Extra Fee <br /> ) CJ Yes <br /> 2. Article Number <br /> (Transferfromservice/abel) 70�7 022� ���0 1r989 7879 <br /> ; PS Form 3811,FebYuary 2004 Domestic Retum Receipt ����a��� <br /> ' • � �'���'TILJ�-S� . <br /> . <br /> � � �"l <br /> Q-, �I � �.., <br /> N <br /> r� .,. . . .,. , -��.;�..,..:�..._:,.,�- <br /> �, � � '�:a,�' .. <br /> � ��0"' Postage $ <br /> � Certified Fee %/� <br /> p __`'�� / Postmerk <br /> � Return Recelpt Fee n, �1 Here <br /> 0 (Endorsement Required) ` t�J �� <br /> � -- ----- � <br /> Restricted Delivery Fee J <br /> � (Endorsement Reqwred) ; � <br /> �. <br /> � Total Postaae&Fees l_� �� ��, -:+ 4 a <br /> � �� ..._.__ ___ ,.. <br /> �--'-------- -- .. �, Tp��� <br /> � Sen ._--.�N��I_ �ti�or . � �.,x.�" --�.._----•--- <br /> O � �w– --- <br /> � �� i ?.21 l�tit� 5 -- <br /> G�tt� 'i'1�� �t <br />