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■ ` SECTION ■ ■ • <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete <br /> A. Signature ❑Agent <br /> item 4 if Restricted delivery is desired. X ❑Addressee <br /> • Print your name and address on the reverse , Received by Printed Name) C. Date of Delivery <br /> so that we can return the card to you. B <br /> h this card to the back of the mailplece, hpk (k� <br /> • Attach <br /> or on the front if space permits. D. is delivery address different from item t? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: <br /> [3 No � <br /> or�DM �. <br /> 3._ ice Type <br /> Certified Mail 13 Express Mail <br /> let` ❑Return Receipt for Merchandise <br /> Registered <br /> ❑insured Mails ❑ C.o.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7010 2780 0003 0659 483 i NOMMW 'MW <br /> (Transfer from service label) . .'. <br /> �' -- t <br /> R. �._,i'�, eL .ar, JV <br /> U.S. Postal Service, <br /> CERTIFIED MAIL ,. RECEIPT <br /> 1- Insurance Coverage i <br /> aim <br /> DIAL U S E <br /> U71 <br /> Postage $ <br /> a <br /> M <br /> Certified Fee 04 <br /> C3 Retum Receipt Fee Postmark <br /> C3 (Endorsement Required) • Here <br /> C_3 <br /> Restricted Delivery Fee "000 <br /> ❑ (Endorserhent Required) <br /> co <br /> r"*- Total Postage&Fees $ •11 05!10/2013 <br /> ru <br /> 0 Sent To <br /> Ml .r{�' �r----w-rr--r-rr--r---wr-r-------- ' <br /> ,rte r�.ia'..7'wll��l_/y�� ! <br /> ■"1./� or PO Box ft,. <br /> i■ rtw.irr it*.j---•-rrr rr'wrrrr..wrrwsrwrwrrwr r�rrrwrrwfwrrrrrrrr�wrrMrrrrrwwrwrrrrtrwrrrrrwwrrR <br /> C*State,ZIP+4 <br /> r � <br />