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■ Complete items 1, 2, and 3. Also%..Anplete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Dou6 W11-soAj <br />EN �> <br />30y E. N/E862 �uf, 3ieDF� <br />STpGKT�n/ Gf}- jSZUz <br />2. Article Number (Copy Imm service label) <br />PS Form 3811, July 1999 <br />4 <br />A. Received by (Please Print Clearly) I ti ,ste of Delivery <br />C. Signature ( L <br />X p ///� ❑ Agent <br />/AJ•ir..o�/ OU.AiI - ❑ Addressee <br />D. Is delivery address different from hem 17 ❑ 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 />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />Domestic Return Receipt <br />102595.00-M-0952 <br />