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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete ,,A. Sign- - e / <br /> item 4 if Restricted Delivery is desired. ?1, ❑Agent <br /> • Print your name and address on the reverse 0 Addressee <br /> so that we can return the card to you. :. Received by(Printed Na - C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, /2--2^10 <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 0 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> ScO-H- r4- 1\1\Che,lle, 1M 116/ <br /> (65 Ord &pod Sou., Kd 411 <br /> 3. S vice Type <br /> Lool Lala- MN] Certified Mail 0 Express Mail <br /> 0 egistered 0 Return Receipt <br /> pt for Merchandise <br /> 553.50 <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number 7007 0220 0000 1989 7626 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> r <br /> U.S. Postal Service,. <br /> CERTIFIED MAIL, RECEIPT <br /> al <br /> ru (Domestic Mail Only;No Insurance Coverage Provided) <br /> NFor delivery information visit our website at www.usps.comh <br /> D <br /> co <br /> cr Postage $ I , Z 2 <br /> r-R <br /> CI <br /> Certified Fee 2 ,ga ��AY Mets <br /> Return Receipt Fee ostrnerk tS <br /> C3 (Endorsement Required) Here 0 <br /> Restricted Delivery Fee v OEC 0 Z 2010 CO <br /> p (Endorsement Required) <br /> ru <br /> ru Total Total Postage&Fees $ �,3 <br /> SI ) <br /> d �/� ( y"�p �p y�� I Q U <br /> CM Sent Tosco <br /> i f T' MIC) el►L ' M I(I'U' <br /> O <br /> O Street, <br /> N or PO `'v Q C(\ to _ ' -L1,N_be 3 <br /> Cly Stagy= ZIP+4 <br /> + 0 _, ' IA (4 .01 •b <br /> PS Form 3800.Auy;.at 2006 ,e, Hrvcrsr for Instructions <br />