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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2;and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X n gant <br /> ■ Print your name and address on the reverse ddressee <br /> so that we can return the card to you. LReceived by(Printed Name C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space tulbr s^� <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: IVIED very address below: D6No <br /> RE 9 <br /> HARRYSNOEK <br /> 2654 NW KINGSTON WAY M 0 20% <br /> ALBANY OR 97321 <br /> ENVIRON, ervice'I) <br /> IP/OIR'S/RESO/PL'S/PKT PERM J� if"ail® ❑Priority Mail Express- <br /> RE 1523 W.RUTLEDGE WAY,STKN ❑Registered "MQpturn Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0004 7741 7270 <br /> (Transfer from service fabeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />