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■ Complete items 1, 2, and 3. Also complete <br />A. Signature <br />item 4 if Restricted Delivery is desired. <br />X <br />❑ Agent <br />■ Print your name and address on the reverse <br />❑ Addressee <br />so that we can return the card to you. <br />B. Received by ( Printed Name)C. <br />Date of Delivery <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ No <br />3. Service Type <br />1 <br />19 Certified Mail ❑ Express Mail <br />❑ Registered KI Return Receipt for Merchandise <br />Au '•", <br />ATVp'7V! 14F, Cly �JC(� <br />❑ Insured Mail ❑ C.O.D. <br />En J ��fa 0.�� <br />4. Restricted Delivery?(Extra Fee) <br />❑yes <br />2. Article Number <br />(transfer from service AaW 91 7108 2133 3930 9507 <br />6665 <br />PS Form 3811, February 2004 <br />Domestic Return Receipt <br />102595-02-M-1540 <br />-J <br />0 <br />0 <br />ru <br />Ld <br />w <br />w <br />LU <br />ED <br />-.l <br />LF - <br />LF <br />