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E: N (4h � C. <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Si na re <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, Received by(Printe ame) Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, s � �� �_���q <br /> or on the front if space permits. <br /> D. Is delive ddress different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> '�andy C�le. <br /> �nd� ��- <br /> ZQC�Q 1��1 C � 3. Se ice Type <br /> �-� i <br /> �8eaified Mafl ❑Express Mail <br /> t�,��n u•A I ;C;IC��(� ❑ Registered ❑Return Receipt for Merchandise <br /> V� 1 VI� �V��V ��'Z���� ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. ArticleNumber '7�02 241� 0��2 9881 3287 - <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 � <br /> � • . �E ;Nor�h 5ho+�-b: <br /> � . � <br /> � <br /> ti .. - . f = <br /> m <br /> � <br /> � <br /> � <br /> � Postage $ <br /> ^ '��1 �r�tYSTq( <br /> 0 CertifiedFee / 7�v /� `� � <br /> p ��� v— Post k <br /> p Return Reciept Fee /� /,� Here � <br /> (Endorsemeni Required) 2•� �� <br /> � Restricted Delivery Fee � ,1�� <br /> � (Endorsement Required) . QO <br /> � � <br /> � 9 � 5.54 <br /> Total Posta e&Fees \�•. <br /> �.3 -''_'.,__ _.. <br /> fLl <br /> p� Sent To y�/� /'p� <br /> �1�_^_- ----T-� -�-- -------- -- -------------- <br /> [�- ---------- -- <br /> Street,Apt.No_; <br /> orPOBoxNa.----�- '��'�---��f�---�'� <br /> ------------ --------------- <br /> City,State,ZIP+4 �. r <br /> N <br /> :�� �� <br />