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. . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A � ature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X � Addressee <br /> so th8t we Can return the Card to you. , eceived by( 'nted Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. � � `�-Z- G���� �-�S 'v <br /> D. Is deiivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> �ne- �• C�f�ss <br /> �� ��r�` �j 3. ServiceType <br /> �CCYtified Mail �Express Mail <br /> ����� �� ��� ❑fiegistered ❑Return Receipt for Merchandise <br /> �Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery7(Extra Fee) ❑Yes <br /> 2. ArticleNumber 7Q02 051� 0�01 6306 1336 <br /> (1'ransfe�irom service label) <br /> PS Form 3811,February 2004 [�omestic Return Receipt 102595-02-M-1540 <br /> . � <br /> � , � <br /> ►. . . . <br /> �.0 <br /> m <br /> rn <br /> � <br /> ..n <br /> p Postage , . <br /> m /f ' R- <br /> � Certified Fee � •/ ,�O <br /> �' f Post <br /> ,� Return Receipt Fee n .� � �/�� Here �� _ <br /> p (Endorsement Required) � Ol (,/ <br /> � Restricted Delive Fee ,/y �l <br /> � ;Endorsement Required) ��' l,� - � <br /> � � <br /> ��� <br /> � 9 $ 5.5¢ �� .� <br /> Total Posta e&Fees <br /> u7 ���- <br /> --- ------ � <br /> p SentTo Jane �• ��{ ���v <br /> ---------------------------------- Lt_�-------------- ---------------- <br /> Street,ApL No.;^ �A� <br /> — <br /> O or PO Box No. J K ��_L f}Ye <br /> O -City,State.ZI�'--;-------------�--•----------- -- <br /> ------------------ <br /> ta}a IKtJ �iE53q1 <br /> „ , <br />