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v vn <br /> COMPLETE • COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Received by(PleasePn clearly) B. Date of Delivery <br /> item 4 if Restricted Delivery is desired. ^t'; <br /> ■ Print your name and address on the reverse <br /> 03 <br /> so that we can return the card to you. C. Signet re <br /> ■ Attach this card to the back of the mailpiece, X ❑Age <br /> or on the front if space permits. dress <br /> 1. Article Addressed to: D. Is delivery address different fro .em VS has <br /> If YES,enter delivery address below: o <br /> VIRGINIA BEARD <br /> PO BOX 739 <br /> EMPIRE CA 95319-0739 3. Service Type <br /> ❑Certified 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 <br /> (Transfer from service label) ?001 2 510 0005 9632 3006 <br /> PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-1427 <br />