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f ' <br /> � � • <br /> � � • � <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse X ❑Agen <br /> so that we can return the card to you. dressee <br /> ■ Attach this card to the back of the mailpiece, B• �Qived by(Printed Name) C. ate of Delivery <br /> or on the front if space permits. !�� �-- � ��c.---.o_ Z,�,... �`_�P <br /> 1. Article Addr ' +to: D. Is delivery address different from item 1? ���Yes� <br /> If YES,enter delivery address below: �iTJo <br /> �`�1— �� �I �l� fll,� <br /> Mj;� <br /> Y�. <br /> ����L�r���J �� 3, rvice Type <br /> .� <br /> ertified Mail O Express Mail <br /> �� ��`C_�� ❑Registered ❑Return Recefpt for Merchandise <br /> ` j ❑Insured Mail ❑C.O.D. <br /> � 4. Restricted Delivery?(Extra Fee) <br /> ❑Yes <br /> 2. ArticleNumber ���2 �5��, �a0'1`' 63Q6 �y176 <br /> (Transfer from service la <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> �� �.p�Y Mr,` �� � <br /> _��'�-y� I � �'9 <br /> • , w�N(yi� �' J �j' a ��(��� i �� � • <br /> /7�It]iI� v� � <br /> �1 ' <br /> .. , _ � ��;;'� a, cJ� v� <br /> � � � <br /> � + � � I t�'� ��,-z <br /> a - <br /> .-� -{ p � '� � '�, a <br /> . <br /> O Postage S �{A�D� �� ��� ��I <br /> rn t�`� _ j' N N 11� ' <br /> 2,� II I� <br /> ..0 Certitied Fee � �'-� �I <br /> Postmark � �J I a� <br /> r9 RetumReceiptFee n •� � ��� ry� � � �� �� � <br /> p . (Endorsement Required) L �/���no� � � '��, �j' <br /> p �t U N LL �-� u'� li ^ <br /> Restricted Delivery Fee � a � �� �� ,y Li-'� '�,Q <br /> � IEndorsement Required) ' "" °1 j o la <br /> � -- — . �\ • �U Q� p� m �2 z 'iv <br /> S / � �E d� ° ,��o '��i <br /> � Total Postage 8 Fees �.� \ ,+1���-�-�- a��' � � , � U m <br /> �, a� ..a� a ;�a <br /> �1 – O �o �" � ti �: ;�n <br /> p Sent To ' -o '�a o c '�a ',?�.� <br /> - - �c.1�- �• 0' Fla - w �w � � ,� o ;� <br /> ----- _ , <br /> fLl Street.Apt.No.; ----------------------- � <br /> ._--- – ----- .., <br /> 0 o�PoaaXNo. �? ����� � p22'C 90E9 'I000 0'C50 200Z <br /> � City,State.ZIP. ^ . _--- -----7-------------- <br /> _7 u N g _ i <br /> „ <br />