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, � f� � <br /> � � • <br /> � • • / <br /> ■ Complete items 1,2,and 3..�:,� �omplete ti �ignature <br /> item 4 if Restricted Delivery is desired. ' <br /> ■ Print your name and address on the reverse X �,� ❑Agent <br /> so that we can return the card to you. Addressee <br /> � Attach this card to the back of the mailpiece, B�ceived by(Printed Name) C. Date of eiivery <br /> or on the front if space permits. �l( l G <br /> Article Addressed to: D. Is delivery address different from item 11 ❑ es <br /> If YES,enter delivery address below: C�No <br /> �I itil�4Vv�. d�• I I�IVYI�CIr� � <br /> ��5o Not`I-V��re t�v'�", <br /> �A /�j �('� ^1 �n � 3. Service TYpe <br /> ►Y L V"�'"^ �'v �c�+�� L�`9ertified Mail ❑Expres,q Mail <br /> ❑Regfstered ❑Retum Receipt fw MerGhandise <br /> ❑Insured Maii ❑C.O.D. <br /> 4. Restricted Deliveryt(Exba FeeJ ❑Yes <br /> 2. Article Number <br /> (��nSte��omseNrce�at 70D7 0220 0000 199� 9572 <br /> � PS Form 3811,February 2004 Domest�c qeh,m Rece�pt <br /> � 102595-02-M-1540; <br /> �� <br /> . , <br /> � � � ' . <br /> f�• • <br /> ul <br /> 0" <br /> �;, <br /> ��.., � ;� �,:: k2 . <br /> � Postage $ 4, <br /> • <br /> � Certified Fee 1� ��P�gA Y,� <br /> � Return Receipt Fee 7/ <br /> � (Endorsement Requlred) � Postma <br /> 0 2.3o Here �, <br /> Hestricted Delivery Fee W <br /> � (Endorsement Requ(red) SEP 3�?010 w <br /> � Total Postage&Fees � 5� <br /> � Sent To U <br /> � W_' ll(Qv� p•�,r <br /> o ;------------------------ <br /> � - <br /> . �.__Nt3�Vl�Yt4i�,:��Y'-------------- <br /> :,, . .,. �� `�� <br />