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■ Complete items 1,2,and 3.Also complete A. sig ture
item 4 if Restricted Delivery is desired. X ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we Can return the card to you. B. Rece by{�rJn�ed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece, (� �. ,\
or on the front if space permits. "�
D. Is ry address diffe from item'1? ❑Yes
1. /:rticle Addressed to: I YE ,enter delivery a s below: C�,No
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7� CI ( 1 V��� 3. Service Type
�'Y�❑Certified Mail ❑Express Mail
�\�� �� �/�� ❑Registered ❑ Retum ReceiptforMerchandise
L��� ❑Insured Mail ❑C.O.D.
4. Restricted Deiivery?(Extra Fee) ❑Yes
2.Artic�eNumber 70�7 0220 0000 1989 7596
(rransfer from service/abE
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-7540
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Restricted Delivery Fee � ��
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