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SENDER: COMPLETE THIS SECTION 1 COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2, and 3.Also complete A. S n re `1 <br /> item 4 if Restricted Delivery is desired. )Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. R vedt y inted Name) C. to f Delivery <br /> ■ Attach this card to the back of the mailpiece, S S�1 <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> �C If YES,enter delivery address below: ❑ No <br /> PJ/ 44e e <br /> 3. Service Type� E�Certified Mail E3 Express Mail <br /> ❑ Registered ID Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 7008 1300 0001 5964 8400 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> O , <br /> C3 <br /> S <br /> lT' <br /> Postage $ C <br /> tf 1 <br /> Certified Fee postmark <br /> Here <br /> f� <br /> Return Receipt Fee <br /> CI (Endorsement Required) <br /> 0 Restricted Delivery Fee <br /> 1:3 (Endorsement Required) <br /> rrt Total postage&Fees $ l <br /> F-q <br /> ent o // / ;IC Y...................... <br /> rp <br /> Street,Apt.No <br /> --- 7 <br /> � or PO Box No. �_�`��_ <br /> �jty,$tete,ZIP+4 r / A <br /> RUNt <br />