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COMPLETE <br /> ■ Complete Items 11 2, and 3. Also complete A. Signature <br /> - item 4 If Restricted Delivery is desired. 0 Agent <br /> ■ Print your name and address on the reverse X <br /> El Addressee <br /> so that we can return the card to you. S, Received by ( Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mallplece, <br /> or on the front if space permits. <br /> D. Is delivery address different from Item 17 0 Yes <br /> 1 . Article Addressed to: <br /> If VES, enter delivery address below: 0 No <br /> I '7 '� `� Me. rrP�� SfirtrPt <br /> TirI � � K � �?R yS3 � c� <br /> 3. Service Type <br /> kcertified Mall 0 Express Mail <br /> 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery? (Ex" Fee) 0 yes ' <br /> 2. Article Number 7001 1940 0007 9154 3001 - <br /> (transfer from service label) - <br /> PS Form 3811 , August 2001 Domestic Return Receipt 102595-02-M-Oe361 _ <br /> - P1 I IELIVEny <br /> ■ Complete Items 1 , 21 and 3. Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. 0 Agent <br /> R <br /> ■ Print your name and address on the reverse 0 Addressee - <br /> so that we can return the card and to you. <br /> B. Received b ( Printed Name)rl N m C, Date of <br /> ■ <br /> Y Dellv <br /> - Attach this card to the back of the mallpiece, ery . <br /> or on the front if space permits. <br /> 1. Article Addressed to: <br /> D. Is delivery address different from Item 1 ? 0—j' El No <br /> y K YES, enter delivery address below: No - <br /> Ke ( � I �'J Q1.wJL C. , v �1�,--t-e t1 <br /> 1 I � <br /> U t <br /> r51 1 Y`U 1 1 <br /> �J <br /> yC3 C K,-lzn , lir 1 �SYJZ' <br /> 3. etvlce Type <br /> JFF <br /> Certified Mali 0 Express Mail IF - <br /> ❑ Registered 0 Return Receipt for Merchandise - <br /> O Insured Mali 0 C.O.D. - <br /> 4. Restricted Delivery? (Extra Fee) ❑ Yes i - <br /> 2. Article Number 7001 1940 0007 9154 3018 - <br /> ' trmnsfer f m service label) <br /> - PS Form 3811 , August 2001 Domestic Return Receipt 102595-02-M-osa5 <br />