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SECTION------------------------------------- <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> ON DEUVERY <br /> ■ Compl teW nd 3. A. Signature <br /> ■ Print y�r dde reverse X ❑Agent <br /> so thaI he aftt... <br /> ❑Addressee <br /> ■ Attach this card to the back of the maifpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1, Article Addressed to: D. Is delivery address differerit front Rem 17 ❑ Yes <br /> If YES,enter delivery address below: ❑ No <br /> LARSON. CAROLYN J TR <br /> 3 MADRONO AVE: - - <br /> CORTC MADE R-A-CA-9y92��1646 <br /> RE:PR0521224-1fMBP -RTN:MD <br /> 3. Service Type Q Priority Mali Express <br /> ❑Adult Sgnature Q Registered Ma <br /> Q AdultSignature Reseed Delivery Q Reeggj:;ed Ma i Restricted <br /> DeEl( l11111111111111111111111111111111111111 4Frified Mas iv <br /> 9590 9402 7574 2098 8018 94 C1 CeRffied Mail Restricted Delivery tMignature Conflnnation- <br /> El Co6ect on Delivery 0 Signature Conformation 3 <br /> 2, /Tmnsfhr fmm service labetl M Collect on Delivery Restricted Delivery Ra6tnCted Delivery <br /> { <br /> 9589 0710 5270 0 6 41 0932 8 2 Restricted Dellvery <br /> Y • 1 � � <br /> PS Form 3811,Jul 2020 PSN 7530-02-000-9053 <br /> y 1 A Domestic Return Receipt <br />