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■ Complete items 1,2,and 3.Also complete A. Signa <br /> item 4 if Restricted:Delive;y is,de rad. ❑Agent <br /> ■ Print y r name and address on the reverse X - ❑Addressee <br /> so that 'can returnthe card to you. . R ei y C a Deliv,ry <br /> ■ Attach t card to the back of the mailpiece, <br /> or on the front if space permits. <br /> delivery address drftereM from item 19 Y <br /> 1. Article Addressed to: If YES,enter delivery add ss below: o <br /> GheVronl Prod uaK Gfl. <br /> 4PW Pq-rm F I bsu L23�5 Q <br /> Q' o, Box IOOD'( <br /> t.,�c,p• --1 &4 - 1 w 3. Service Type <br /> S 4 t� M V MI v Certified Mail 0 Express Mail <br /> 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?POM Fee) 0 Yes <br /> 2. Article Number 7003 2260 0003 3185 8998 P <br /> (Transfer from Service label) V <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 <br />