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■ Complete itetns 1,2,and 3.Also complete A. Signature e <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by nted Na..) C. Date of Delivery <br /> ■ Attach this card to the back of the mate <br /> or on the front if space permits ,, <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter deliveryaddress below: ❑No <br /> � <br /> DANIEL �GLI OC? <br /> PO BOX 883 <br /> TA CA 9 5 6 8 3 3. ervice Type <br /> E <br /> I <br /> RANCHO MURI Pg Certified Mail ❑ Express Mail <br /> ❑ egistered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number > P <br /> (Transfer from service fabeP) r 1 <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035 <br />