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■Complete items 1, 2, and 3. Also complete <br />item 4;' r liv fired. <br />■ Print y n add he reverse <br />so tha ` u th ou. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />L2l -5�V <br />b� r - -CW <br />X <br />❑ Agent <br />❑ Addre <br />nred by ( Printed Name) C. Date of Tliv <br />..,.--11 <br />D. Is delivery address different from item 1 . ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />ks?99'�9e e rType <br />ertified 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 7630 <br />((ransfer from service label) <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />