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�: °v � 0 F • <br /> . . . . . . . <br /> ■ Complete items 1,2,and 3.Alsv complete F Siynature <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. g, Received by Printed Name) C. Da f ery <br /> ■ Attach this card to the back of the mailpiece, /'� � <br /> or on the front if space permits. �\ `�'"�1"`�� � <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> '�Q►��i�U� I.C�QI� S2t'V iU <br /> �Z5 �anc� �-l�.on d. <br /> 3. Service Type <br /> �rQ� �� ,�L �Certified Mail ❑Express Mail <br /> ❑ egistered ❑Retum Rec•sipt for Merchandise <br /> 33�� ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (rransfer from servke label) 7 0 0 2 0 510 0 0 01 6 3 0 6 0�5 6 <br /> PS Form 3811,February 2004 Domestic Retum Receipt �o2sss-02-nn-isao <br /> - • - NS�D <br /> . , , � <br /> � <br /> .. . <br /> � <br /> o � --- <br /> 0 <br /> � <br /> p Postage $ � <br /> m <br /> „� Certified Fee .�O ��Q.�BAcY <br /> ,-q Return Receipt Fee Here � <br /> � (Endorsement Required) 2, 3O 7 (T <br /> � Restricted Delivery Fee OCI � 61 N <br /> 0 (Endorsement Required) 409 (q <br /> � Total Postage&Fees $ 5.5�' <br /> l!7 <br /> � �� -vi-Q-W--1,�GQ��_SeX'V�Ci <br /> fL Sf e t.No., <br /> o _ _ � -�� �,�n-/�/�- -d <br /> o -- - yy++ /� ---- ---- <br /> � �y, tate�P.q {� _�'1�11 �YJ <br /> � ��I�./ <br /> :�� �� - - <br />