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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ 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 />1. Article Addressed to: <br />Sar 3041CIIA C6MOIS Sk-4(5 p,,lr <br />?-ODO M; Chac l cc" .: e' Qlvb. <br />:Ad ev\clk /Cc*-? I CA- gt6231 <br />/nvlr� LPICC�Pr'�Lca ��c�.t^G{k0� <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. Received by (Punted Name) C. Date of Delivery <br />D. Is delivery address different from item 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />® Certified Mail <br />❑ Express Mail <br />❑ Registered <br />® Return Receipt for Merchandise <br />❑ Insured Mail <br />❑ C.O.D. <br />4. Restricted Delivery! (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service raeeq 91 7108 2133 3930 9507 6689 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />E—' <br />ED <br />FU <br />l.aJ <br />w <br />ILLI <br />w <br />Cl <br />Ln <br />0 <br />Ir <br />Lr <br />0 - <br />