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i · Complete items l, 2. and3. Also complete A. Receivedby~msePr/ntC_~) B. Date of Deliv~ <br />item 4 if Restricted Delivery is desired. <br />· Print your name and address on the reverse <br />so that we can retum the card to you. ~ <br />· Attach this card to the back of the mailplece, [] Age,t <br /> or on the front if space permits. [] A4~clmss~ <br /> D. Is~A, er/addmssdiffemntflomitoml? []Yes <br /> if YES, enter delivery address ba~ow: r-I No <br /> <br /> [] Registered [] Return Receipt for. Merchandis <br /> <br /> 4. Rest~cted Delivery? ~.x'tra Fee) OYes <br /> <br /> 2. Afl,cie Number <br /> 700{ Og¢o o oo <br /> <br /> · Complete items 1, 2. and 3. Also complete <br /> item 4 if Restricted Delivery is desired. <br /> · Print your name and address on the reverse <br /> so that wa can return the .card to you. C. S <br /> · Attach this card to the back of the mailpiec,, _X_~/~//~ ./.~_ •Agent <br /> or on the front if space p~.~.~ its. <br /> · ~a d~y a~s~ d~rm~ f.~ ~m ~? O¥~ <br /> 1, Article Addreesecl to: if YES. enter detive~/address below:. [] No <br /> <br /> O cer~aad Mai [] <br /> ~O,..~ ~_~<:~ 6/~ •.egistered ORetumReceiptforMerchand,s. <br /> r-I Insumcl Mail r-I C.O.D. <br /> ~:~ H (~ '~ 4. R.tflctecl Deliv~y? (Extra F.) <br /> <br /> PS Form 381 1, March 2001 Domestic Return Receipt 102595-01.M-14 <br /> <br /> · Complete items 1, 2. and 3. Also complete . A. Received by (P/ease Pr/nt C/~) <br /> item 4 if Restricted-Delivery is desired. <br /> · Print your name and addres, s on the reverse <br /> so that we can return the card to you. C. S~n_ature/~ <br /> · Attach this card to the back of the mallplane, DX. ~~ ~17 ~]~ <br /> or on the front if space permits. <br /> <br /> 1. Article Adclressed to: If YES, enter delivery addres~ below: [] No <br /> <br /> · 3L Se~ice Type <br /> <br /> ~ R~Jistered r-/ Return Receipt for Me~handise <br /> · [] Insured Mail [] O.O,D. <br /> <br /> 2. Art''~"'" .... <br /> P,~ ~=( 102595-01-M- 14~ <br /> <br /> <br />