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■ Complete items 1, 2, and 3. Also complete A. n r6 i <br />Item 4 if iestricted Delivery; is desired. X( l gent <br />■ Print you arife%ed address ori the reverse fff/// ❑ Address4 <br />QL <br />so that we can return the card to you. B. Receive y (Printed Name)C. Det of Ilve <br />■ Attach this card to the back of the mailplece, <br />or on the front if space permits. - 11 <br />) cl D. em 1? 13 Yes �r <br />1. Article Addressed to: address below: 0 No <br />234 S Si+ck+� s4-: B ENS HEALTH <br />3. Se <br />Q`po-� CA 3p L. bwfi <br />fled Mall 13 Express Mail <br />❑_ <br />Registered 0 Return Receipt for Merchandise <br />0 Insured Mail Cl C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yea <br />2. ArticleNumber7002 2030 0003 8788 7616 <br />(transfer from service label <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />