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^ Complete items 1, 2, and 3. Also complete A. Signature <br />,. <br />- item 4 if Restricted Delivery is desired. ^ Agent <br />_ ~ Print your name and address on_ the reverse_ X ^ Addressee <br />So that we Can return the Card to you. B: Received b~(Printed Name) C. Da of Delivery <br />^ Attach this card to the back of the mailpiece, ~T ~ r~ ~{f(l~ <br />- . or ort-the frent if-specs. Qermits. <br />D: Is delivery ad~ress different from item 1? ^ Yes <br />1. Article Addressed to: If YES, enter delivery address belowa ^ No <br />Cu a~w ~ ~u,V~f~ dud -~c. <br />~ 9 • ~~o-~ <br />,/1i 3. ~~S1lervice Type <br />I Q ~ ~~ K/~ ~ V1 Certified Maii press Mali <br />~~ ~ ~ ~ s Registered Return Receipt fvr ~~te~c~ ~a~ ~dise' <br />_ C~~ A ~~- I I ^ Insured Mail ^ C.O.D. <br />C (~ 4. Restricted Delivery? (Extra Fee) ^ Yes <br />Y• `~ 7004 251 X003 9673 8122 <br />_ rnar~l~rtt~-~ sen~ <br />PS Form 3811., February 2004 Domestic Return Receipt 102595-o2-M-ts <br />