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0 <br />ll O3 03 3a00V NHnl3H 3N1 d0 <br />1HOW 3N1013dO13AN3 d0 dOl ltl U331311S 33V -1d <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Rest 'ffithe'balck <br />s desiyed. <br />■ Print your na es ort ;ho' reverse <br />so that we c rd taiyo6 -,, <br />■ Attach this car to of themailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />e$erv► ; fie. AVew#, 51nO'l1 <br />33o E. qos.eMrk +le - <br />M j RecA C A S ��- 336 <br />(D E <br />''NU L' <br />2. Article Number <br />(Transfer frolfri <br />PS Form 3811, <br />.IUL 12 2004 <br />A. Signature <br />❑ Agent <br />X ❑ Addressee <br />B. Received by ( Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ 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 />t.-41 HU:'�'b02 2030 0001 7624 9021 <br />Domestic Return Receipt <br />102595-01-M-2509 <br />