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. , <br /> . . <br /> , . <br /> , , . <br /> . <br /> . - • ' <br /> lete A. Signatu� ❑Agent <br /> ■ Complete items 1,2,::�,��•A�so comp �•-- 2�i ddressee <br /> item 4 if Restricted Delivery is desired. X ,-�.` <br /> eceived by�t�N e) C.Aat f D�ei�ivery <br /> ■ Print your name and address on the reverse `o � <br /> so that we can return the card to you. �� <br /> ■ Attach this card to the back of the mailpiece, p Is delivery address different from item 1? ❑Yes <br /> or on the front if space permits. �No <br /> 1. Article Ad�ed to: <br /> If YES,enter delivery address below: <br /> --• . �. Zv�l A�� <br /> 1 ►m�h� � <br /> � n'0,�1� ��'��.. �"' � 3. Se ice Type <br /> /�(�, �v ��+�� � �rtified Mail ❑�P�ess Mail <br /> Registered ❑R e t u r n R e c e i p t f or Merchandise <br /> •-- •' �C�1�n� ❑Insured Mail Cl C.O.D. 0 Yes <br /> �pu� �M�V `'�J�J�I/ 4. Restricted Delivery?(Extra Fee) <br /> 2. ArticleNumber �002 �51� D0�1 63�6 y213 <br /> 102596-02-M-1540 <br /> (fransfer from service label) Domestic Return Receipt <br /> PS Form 3811,February 2�04 <br /> • . � , �.J�'' <br /> . � ' � <br /> • � <br /> �. F;...=��-,�-'-- <br /> r�, �R�;� . <br /> N % <br /> a l <br /> � <br /> Opostage $ � � <br /> m Fee C9Postmar <br /> � Certified , � 3 <br /> „I-lere � <br /> � Return Receipt Fee ��� �\ (Q� <br /> � (Endorsement Requlred) <br /> � Restricted Delivery Fee ^,E�j <br /> � (Endorsement Reqwred) _ --� . . <br /> IG) -G}fA} I <br /> � Total Postage&Fees ���__�/'`��--� ___.___---�� <br /> � --- <br /> --= `w'A f i <br /> � Sent Ta ��t'�1/"`� ��Y S/�!. - _ <br /> �/�_- � `�rc. i�r� <br /> ----------t-No: �/ 1�� N O� �.T �✓ <br /> N Street,Ap. <br /> 0 or Po soX No. � �� �� � <br /> - <br /> O City.S'ate,ZIP-� <br />