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■ Complet and 3. Also complete <br />item 4 if e <br />■ Print you n d t ueverse <br />so that w a n e <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />4 ) vxh `eret 4i2. v- Dh�rru <br />I J <br />Z9 0 til . nA2LA^ St. S+e C. <br />�lr��.►�.}eco. � Ca.• � 53.3 <br />i <br />2. Article Number <br />(Transfer from service label) <br />X ❑ Agent <br />❑ Addressee <br />B. Received by ( Print ame) I C. Date of Delivery j <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3, ervice Type j <br />Certified Mail 11 Express Mail I <br />I <br />ElRegistered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7003 2260 0003 3185 9414 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />