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. . , - . . . . . <br /> ■ Complete items 1,2,and 3.Also complete �. +��y�,-��:- <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑ ssee <br /> so that we can return the card to you. B. Received by(Printed Name) . Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, � � <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is elivery address different from Rem 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> ��n�;sb� l�w�s <br /> l �Vl6 L.Q.ICQ.VI l.� Tl�/1 a-l� 3. S rvice Type <br /> I ,�� � �� `// _�.� �ertified Mail ❑Express Mafl <br /> w 9 ���w ❑Registered O Retum Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Exira Fee) p Yes <br /> 2. Article Number <br /> (fransfer from service label) �a o� 0 2 2 0 0 0 0 0 19 8 9 7 7 5 6 <br /> PS Form 3811,February 2004 Domestic Return Receipt io2sss-o2-M-�sao <br /> _� <br /> ..o •• • i �✓'� ` •- <br /> , ,.. ,..:�: ,,.. .r e <br /> � �. • <br /> f� ..., <br /> C� <br /> 5-� � e � <br /> r, x�: <br /> �^ Si;..�. � �„.., 'a � �a� � <br /> � <br /> � Postage $ `��- ' <br /> V <br /> O Certified Fee � �� ` ._ �- �, <br /> � Retum Receipt Fee PO�e�. <br /> a (Endorsement Required) 2,, /y Here � <br /> O �� � � <br /> Restricted Delivery Fee <br /> � (Endorsement Requiredl �� � ���� <br /> (1J <br /> � Total Postage&Fees � ' � �' <br /> � � S --�.v <br /> � Sent To <br /> � Sfreef,A��l� ' - -�---���---------------•------------•---- <br /> � �- -- <br /> ,� o�POBo�:�Q_ L--4lX�Yi�n�f_ Tt,r'�ut� <br /> Ciry,State, !P+ <br /> ----- - --- --- ---�---------------------------- <br /> :i� ��. <br />