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. Complete Items 1, 2, and 3. Also complete
Item 4 If Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can retum the card to you.
. Attaeh this card to the back of the mailplece,
or on the front If space permits.
1. Article Addressed to:
Is dfJ.'Nf!J(y address difIeI'eIU from
If YES. enter delivery address beloW:
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(Tf81IS/8I' ft'oITl fIMV/Ce label)
PS Form 3811, February 2004
3. $erVic8 ~
JQ Certif\ed Mall e ExpreSS Mall
C Reg\stel'8d C Retum ReceIpt forMerCh8"Cllse
C Insured Mall C C.O.D.
4. Restrtcted 0el\Very'1 (EXl18 Fee)
eYes
7006 2760 0002 7407 6246
1 02595-024 ~~
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Domestic RetUm Recelpt
. Complete Items 1, 2, and 3. Also complete
Item 4 If Restricted Delivery Is desired.
. PrInt your name and address on the reverse
so that we can retum the card to you.
. Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
W\\\\o---xY' ~ ~V'i\.~rt
\.D 2~ N.. Ve.r..\""c:,~\o.. Q.j
~~ ~~c\--.-~\ ~ll\g
3. $erVic81W8
JQ Cert\lI8d Mall C ExpreSS Mall
C Registered C Retum ReceIpt for MerCh8"CI\se
C Insured Mall C C.O.D.
4. Restrtcted 0el\Very'1 (EXl18 Fee) C Yes
-
2. ArtIcI8Number '
(Transfer frOm serv/C8 /8beI)
) Form 3811, FebruQry 2004
7006 2760 0002 7407 623~
Domestic Retum Receipt 102595-02-M-~$40
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