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COMPLETE THIS SECTION <br /> ■ Complete items 1 , 2 , and 3. Also complete <br /> A. 19 0 Agent <br /> item 4 if Restricted Delivery is desired. X 0 Addressee <br /> ■ Print your name and address on the reverse c. Date of Delivery <br /> so that we can return the card tohe mailpiece, B. R ived by Pri erne <br /> ■ Attach this card to the <br /> or on the front if space Penn �' p_ de we from 1 ? 13 Yes <br /> tdreSs bolo ❑ No <br /> 1 . Article A to: ✓S I G U l� <br /> cy u <br /> , 0 2406 <br /> 64 <br /> ,1 JL <br /> CA 95269 <br /> Ell � <br /> @d ld2As <br /> NrL� �[? <br /> • `. 0024623 . RTN TQ ? AB. <br /> Epglsteetum Receipt for Merchandise <br /> c <br /> R , SAC RDS LO DI, ❑ insured Mali ❑ c.o.D. <br /> 4. Restricted Delivery? (Extra Fee) Yes <br /> 2 Article Number 7006 138111 0000 - .65��1 6603 <br /> M nsfer from service laball _._ _ . <br /> Domestic Reitan Receipt <br /> 4i =596424014540 I <br /> Ps Form 3811 , February 2004 - <br /> , [] 9 `r n—r�-r UU7LTV <br />