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. '�► <br /> � . . . - <br /> . . • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> ❑Agent <br /> item 4 if Restricted Delivery is desired. X � �� ��L Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the Card to you. B. Rec ed by(Printed Name) C.`�t of Delivery <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: C�No <br /> / <br /> �� �- C�';►�, ��- <br /> ��� I���� � 3. Service Type <br /> �� `C��� Certified Mail ❑Express Mail <br /> M� p Registered ❑Return ReceiptforMerchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deliveryt(E�ctra Fee) ❑Yes <br /> 2. ArticleNumber -�p07 022� 0000 1989 7541 <br /> (fransfer from service/abei) <br /> ; PS Form 3811,February 2004 Domestic Retum Receipt <br /> 102595-02-M-1540 <br /> . � ^ <br /> � ,• � w w � `�\'\ . <br /> � Y <br /> � /. � � ; � . � : .� . � :.-� ,. .. .. . � <br /> �I <br /> � � � � �;..� 5:-.�x <br /> Q� � �,. <br /> � <br /> Q' Postege $ 1 <br /> ra r�� c� <br /> O CertifleC Fee ,X 1 1 �j r J�,�• .` <br /> u v PoStmaric <br /> � Return Receipt Fee /J. �y,i '' Here <br /> Q (Endorsement Required) L <br /> Restricted Delivery Fee j� 1�0 <br /> � (Endorsement Required) ^ <br /> '� 5� Total Postage 8 Fees � �' <br /> � <br /> � Sent • <br /> o �� �{-- �12Y�--------- -•- --_-�-----�------------------- <br /> p Stree p N ►y 1., <br /> � orP�� ���-..._�_--.- _-"----�-- <br /> � --'-----�--�-��-_'-- <br /> Ci!v S ate.T(P+ � <br /> :�� ��. <br />