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, �� L � � <br /> . . • <br /> � . . . <br /> ■ Complete items 1,2,and 3.Also complete A. signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. g, Recefved by(Printed Name) C. Date 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 Rem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> � <br /> �,�� (..t�UV� S,e�''11iC'� L�-�' <br /> 3 Z�`� ��v�'n�s �' � <br /> 3. Service Type <br /> ��r_,j �1 � ¢+�1(� �ertifled Mail ❑Express Mail <br /> ��r"�(� E�i� �„�� � �T ❑Re�istered ❑aetum Recelpt for Merchandise <br /> ' C,J ❑Insured Mail ❑C.O.D. <br /> 4. Restrfcted Delivery/t(F.xtra Fee) ❑Yes <br /> 2. ArticleNumber 7007 268a oao2 3457 1686 <br /> (Transfer from service labe� _ <br /> PS Form 3811,February 2004 Domestic Return Rece�pt 102595-02-M-1540 <br />