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. . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑addressee <br /> so that we can return the card to you. B. Received by(Prtnted 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 item 11 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> . ��� cj• (,.V►- `A <br /> � {r.`�_[-` , <br /> ��5 ������� 1 �v 3. ice Type <br /> � �rtified Mail ❑Express Mail <br /> � _ _ ` `�J/�n/� ❑Registered ❑Retum Receipt for Merichandise <br /> ��`r r :r�f� ❑ Insured Mail ❑C.O.D. <br /> , ` 4. Restricted Deliver�/1(Exha Fee) ❑Y� <br /> 2. ArticleNumber 7pp7 268� ���2 3457 1716 <br /> (1'ransfer/rom service/abe� <br /> ; PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540;. <br /> _ j ! <br />