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� . <br /> S <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. �' , re <br /> item 4 if Restricted Delivery is desired. � ❑A nt <br /> ■ Print your name and address on the reverse X ' ❑ ssee <br /> so that we Can return the card to you. B: Receiv.ed by(Pnnted Name) , .�t elivery <br /> ■ Attach this card to the back of the mailpiece, +� � � ��6 f � , <br /> or on the front if space permits. � k <br /> D. Is delivery address different from item 1? ❑Yes^� ' <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> ��-�' �Devel�men���nc�U� <br /> tc�o I TWelvc. Oa� <br /> C�� ti.� � ��I� 3. ServiceType <br /> t/C �Certified Mail ❑Express Mail <br /> W���1 �� `��� ❑Registered ❑Retum Receipt for Merchandise <br /> �u ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. ,4rtic�eNumber 70�7 �22� 0000 1989 8203 <br /> (Transfer from serv/ce labeq <br /> PS Form 3811,February 2004 Domestic Return Receipt �o2sss-o2-nn-�sao • <br /> . � <br /> ' • � �Z.55��uce� st-- _ <br /> m � � <br /> o �• � . . � , , � <br /> rL - <br /> m <br /> ��, � - <br /> � � . �_ � <br /> � � � _ ��.n � � �`_J <br /> � Postage $ <br /> � Certified Fee • L <br /> �J.( `�� ��r�� <br /> � Retum Receipt Fee "�ostm� <br /> � (Endorsement Requfred) Z�55 ���y H� <br /> '� 1 . <br /> Restricted Delivery Fee ,1N� <br /> �^ IEndorsement Requfred) S <br /> f1J � <br /> � Total Postage&Fees $ �, ., +�� <br /> '� -- _ !%� - <br /> Sent'r�l ����A ........ <br /> � - __�_— <br /> � _y__-----�o�r�e�'1�'_�r{YI,Q,�u� <br /> � <br /> r� �r�F , ------ ---- <br /> - ------------------ <br /> `` ' �'n�CIVe� C�C�K-� C.e.1'1IU'__�. .� la5 <br /> �, � ,;- }� MN --------- <br /> :, ,,. <br />