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• Complete items 1,2,and 3.Also earn plate gnature
item 4 if Restricted Delivery is desired. 0 Agent J
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you. B. Rece b led Name) C. Date of Delivery
• Attach this card to the back of the tnailpiece,
or on the front if space permtts. '
1. Article Addressed to: D. Is delivery address dlffere m Item 1? 7 as
/' .dry rk'^ti (! � If YES,enter live dd s below: ❑No
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fUpr} Cywd � �. �•'4'ta'� 3. Service Type
/ J emised Mall Express Mall
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Return Receipt for Merchandise
.j'flS 6p.J..t r ja. /7/L6 0Insured Mall 0C.O.D.
UU 4. Restricted Delivery?/Ex(ra Fee) 0 Yes
2. Article Number 7012 2210 0000 7795 2816
{Transfer from seMce fabep
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540;
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