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20170123142737.pdf• Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and dress on the reverse so that we can raturh ttte card to you. a -Attach 'this card d thpwback of the mailpiece, or on the Bran if'saee permits. 1. Article Addressed ttsrw 221 g ►�v� 0'1�^ 5r A d1MHN`" A. Signature ° ❑ Agent 1 O Addressee S, Received by (Printed Name) C. Date of Delivery D. Is delivery address different from Item 1? O Yes If YES, enter delivery address below: ❑ No F- SEP 19 2016 3. SIDIDI TAWMENT SERVICES ❑ Certified Mall® ❑ Priority Mall Express' Registered O Return Receipt for Merchandise O Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7 014 2870 0002 0 313 0471 (Transfer from service laben .,.,.. s PS Form 3811, July 2013 Domestic Return Receipt Mil Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ill, 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: o4w,W1 z tAW �Akl-IC �&" I tn1W AeA071 A. Sift' tVby,, ❑ Agent 'O Addressee S. Received Name) C. Date of Delivery D. Is delivery address different from iternr'l? 0 Yes If YES, enter delivery address belo^ : ❑ No 3. Service Type C[ Certified Mail® 13 Priority Mall Express ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mall ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7014 2870 0002 03 3 0464 (Transfer from service MbeQ PS Form 3811, July 2013 Domestic Return Receipt