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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 return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
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2. Article NumbE
(rransfer from
PS Form 3811, February 2004
')Of ~ ~very
D. Is delivery address different from ite 1? 0 Yes
If YES. enter delivery address below: 0 No
3. Service Type
'd Certified Mail 0 Express Mail
6 Registered 0 Return Receipt for Merchandise
o Insured Mall 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
7005 1820 0002 4615 6049
102595-02-M-1540
Domestic Return Receipt
. 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 return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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2. Article Numbr-
(Transfer from
PS Form 3811, February 2004
\,""0
1,1;'"
3~lce Type \Cr> / J'>
Certified Mail 0 Exp"--~,?:";'
Registered 0 Return~lptl~jt8rthandlse
o Insured Mail 0 C.O.D. - .-.-
4. Restricted Delivery? (Extra Fee) 0 Yes
7005 1820 0002 4615 5806
102595-02-M-1540 !
Domestic Return Receipt
-.
SENDER: COMPLETE THIS SECTION
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
II Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
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J..(J~ ~~,~,E. \~~~" l)\" \)~.
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2. Article Numb
(rransfer fro"
PS Form 3811, February 2004
Agent
Addressee
C. Date of Delivery
C( -/3 ~6
DYes
o No
B. Received by ( Prin
;e,-G I~"
D. Is delivery address different from item 1?
If YES. enter delivery address below:
3'l{rvlce Type
Certified Mail 0 Express Mail
Registered 0 Return Receipt for Merchandise
o Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
7005 1820 0002 4615 5790
102595-02-M-1540
Domestic Return Receipt