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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />j ■ 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 />j 1. Article Addressed to: <br />W 1 uVl� U"M <br />VAD LAVV <br />A. Received by (Please Print Clearly) I B. Date of Delivery <br />C. Signature _ <br />Gr. <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery addrettifiol 5 417174 <br />3. �SSe,rvv�ice Type <br />LtPCertified 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 (Copy frorr 7002 2030 0001 7624 7508 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />