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r <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery Is desired. X i Agent <br /> • Print your name and address on the reverse <br /> so that we can return the card to you. ■ Addressee <br /> ii Attach this card to the back of the mailpiece, B Received by(Printed Name) tf-_ ,=ry <br /> or on the front if space permits. <br /> pi5, <br /> 1. Article Addressed to: D. Is delivery address different from ttem 1? • Yes <br /> If YES,enter delivery address below: 0 No <br /> ? ',aa 1 -THoJrtou KI'f i <br /> 544+ LA " ' 1OY ,t 3. Type <br /> Certified Mail <br /> �.,/y 0 Express Mail <br /> Wayia1&JMJ f]/Y/1f0 Registered 0 Return Receipt for Merchandise <br /> �(JG.J 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Numbrime 7007 0220 0000 1,989 0092 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt -��102595-02-M-1540 <br /> U.S. Postal ServiceTM <br /> CERTIFIED MAIL- RECEIPT <br /> O (Domestic Mail Only;No Insurance Coverage Provided) <br /> r-3 For delivery information visit our website at www.usps.comL, <br /> IT <br /> c <br /> IT Postage @n <br /> Certified Fee 3.10 <br /> O <br /> p Return Receipt Fee Pot (; <br /> 0 (Endorsement Required) 9 ere i <br /> CJ ' <br /> Restricted Delivery Fee , � e, <br /> (Endorsement Required) <br /> 1= / <br /> ru Total Postage&Fees 411 <br /> xcf <br /> CD <br /> n- :17 ,100hieN Ka i <br /> P- <br /> ity,or Po ow . isofe <br /> C �.,,�,iii ' MN 6ogi <br /> PS Form 3800,August 200,, See Reverse for Inst,u,n„n, <br />