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■ Complete items 1, 2, and 3. Also complete <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 />FocA 4 Less i ue 1 Ce v. -4e <br />3 x-34 ,Mah-E-h� Kd . <br />CA <br />A. Signature = _ <br />Agent <br />X (� C/� ❑Addressee <br />B. Recei d by (Printed Name) C. Date of Delivery <br />�Ah� (6-- <br />D. Is delivery address different from item 1? 0 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 />2. Article Number <br />(Transfer from service label) 7002 2030 0003 8788 7586 <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />CEFi I IF -ILLI IVIAILTro h r—L tlr I <br />■ (Domestic Mail Only; No Insurance Coverage <br />For delivery Information visit our website at www.0 <br />■ <br />M Certified Fee <br />O <br />0 Postmark <br />ED Return Reciept Fee Here <br />(Endorsement Required) <br />ED Restricted Delivery Fee <br />Fri (Endorsement Required) <br />O <br />fL Total Postage & Fees <br />O Sent To �OC)a <br />4( �I %� <br />S <br />r Street, Apt. No.; <br />or PO Box No. L� LI NAXV' +V,1 <br />--- --- ----------- <br />City, State, ZIP+4�—s <br />PS Form 3800, June 2002 See Reverse for Instructions <br />