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�I , <br /> � � � � <br /> � • <br /> ■ Complete items 1,2,and 3.Also complete �. s�gnzture' <br /> item 4 if Restricted Delivery is desired. X� �� ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. g, q�e�� y(printed Name) C. D pi,qelivery . <br /> ■ Attach this card to the back of the mailpiece, /�� <br /> or on the front if space permits. <br /> D. Is delivery address different irom item 11 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> �I�n �- �Q,lo�r�l� �31uw1 <br /> ''�1 w �����J� 1� 3. Service TYPe <br /> ❑Certified Maii ❑Express Mail <br /> ❑Registered ❑Retum Receipt for Merchandise <br /> N��l' � uAA 1 �2/� ❑Insured Mail ❑C.O.D. <br /> 1 v�t1v� 1�N� �rf� 4. R e s t r i c t e d D e l i v e r�/t(E x tra Fee) ❑Y e s <br /> 2. ArticleNumber 7002 051� �0�1 63�5 9852 <br /> (riansfer from servlce laben <br /> PS Form 3811,February 2004 Domestic Retum Receipt iozss�z-rn-�sao <br /> • ' �„�.�,�� ►"r � - <br /> � <br /> ., � <br /> � ., . .. „��" _ <br /> � <br /> � <br /> Q- � <br /> u-� <br /> O <br /> Posta9e �I 5 '..�____� �P M N St1 <br /> m �+,� `( S <br /> ,,,p Certified Fee y� � � <br /> 2•t��✓ _ vA Postmark �w <br /> r-9 Return Recei t Fee �j� Here Q <br /> p �Endorsement Required) �.,� �t� ,\'j1.�� <br /> � Restricted Delivery Fee t,�>'��1,� <br /> � IB�dorsement Required) �(s <br /> $ \,J ^ � <br /> � Total Postage&Fees �l �'� ��� '�-'� � <br /> O '^�- — — Q. <br /> �si <br /> �, -- -- -- _ _ __ -_ <br /> p Se To � (�. ��n��- -��� . _ . <br /> — - <br /> 0 <br /> , , <br /> o s,�Po��'°�_ �, ur TrO�t -- - <br /> � ary. rre z�P�a �� <br /> :�� 11 - <br />