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^ C:omplete items 1, 2,
item 4 if Restricted Del'
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A. Signature
very is
desire
^ Print your name and address on the reverse
so that we can retur
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^ Attach this card to the back of the mailpiece,
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1. Article addressed t C. Date of Delivery
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o: D. Is delivery address different from item 1? ^ Yes
If YES, enter deliv
ery address below: ^ No
WINDER SALLY ,J
PO BOX 341
NEWVILLE PA NE Wj,
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17241 \~~
3. Service v-
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^ Express.]o
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^ Registered ' ^ Returr~.ReCeipt for M
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^ Insured Mail ^ C.O.D.
2. Article Number 4• Restricted Delivery? (Extra ~~
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Form 3811, February 2004
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2 9 41
Domestic Return Receipt
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102595-02- 540