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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete Items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse C. Signature <br /> so that we can return the card to you. El Agent <br /> ■ Attach this card to the back of the mailpiece, X <br /> or on the front if space permits. ❑Addressee <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> 3 5 Navy �v ive, <br /> l J � 3. Service Type <br /> ' ` <br /> CSi"Certified Mail 13 Express Mail <br /> �DElRegistered ElReturn Receipt for Merchandise <br /> E] Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number(Copy from service/at 7 0 0 2 2030 0 0 01 7624 7478 <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 <br />