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SENDER:COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signatyle <br /> item 4 if Restricted Delivery is desired. X � E3 Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. by(Print Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, �,ecejved <br /> ; <br /> or on the front if space permits. C 1"` u.1 l.f C. �✓/� <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> 3. Service Type <br /> Certified Mail ❑Express Mail <br /> (l .0 <br /> C3 Registered ❑Retum Receipt for Merchandise <br /> `1 ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. _ 700.9_.. 2.820_.0002 6.2.64 9368 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> COMPLETE • . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Sig tura <br /> item 4 if Restricted Delivery is desired. X ( ❑Agent <br /> ■ Print your name and address on the reverse - Addressee <br /> so that we can return the card to you. B. ceived by(,Pnb Name} C. at of Del' ery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. C,I `J 1)-A- e a /b <br /> 1. Article Addressed to: <br /> D. Is delivery address different from item 1? ❑Yes <br /> / If YES,enter delivery address below: ❑No <br /> 3. Service Type <br /> Certified Mail ❑Express Mail, <br /> ❑Registered Return Receipt for Merchandise <br /> / <br /> C.. / <br /> /t ,.J�� El Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 7009.2820_ X0.02 _ 6264 _9443 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 <br />