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c t� <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature . <br /> item 4 if Restricted Delivery is desired. 0 Agent , <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Pdnted Name) C. Date oi 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 ftem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> �u I�ra l.oar► serv�s �-u- <br /> ��� �hYU 1�� � � 3. ServiCeTYPe <br /> ���� � ���� +1�6ertifled Maii 0 Express Mail <br /> �Registered ❑Retum Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restrided Deliver)/t(Extra Fee) O Yes <br /> 2. ArticleNumber 70�7 268� ��02 3457 1655 <br /> (1'ransfer 1rom seroke la6el) <br /> ; PS Form 3811, February 2004 Domestic Return Receipt 102595-02•M-1540; <br />