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■ Complete items 1, 2, and 3. Also complete <br />item 4 if <br />■ Print you a regio t reverse <br />so that w r e c <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />❑ Agent <br />by ( Printed Name) I C. <br />"""d from item 1?,G fie: <br />If YES, eller deliver tress below: ❑ No <br />NO V 2 0 2002 <br />IRONMENT HEALTH <br />irCertified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7002 2030 0003 8788 5308 <br />(Transfer from service lab <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />