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Postmark
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■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse X ❑ Agent
so that we can return the card to you. ❑ Addressee
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. Date of Delivery
or on the front if space pon the front if space permits.
1. Article Addressed to:
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9590 9402 5811 0034 6974 06
2. Article Number (Transfer from service label)
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PS Form 3811, July 2015 PSN 7530-02-000-9053
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Priority Mail Express®
0 Adult Signature
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0 Registered Mail Restricted
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Return Receipt (electronic) $
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❑ Certified Mail Restricted Delivery $
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��._/z
Postmark
Here
■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse X ❑ Agent
so that we can return the card to you. ❑ Addressee
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. Date of Delivery
or on the front if space pon the front if space permits.
1. Article Addressed to:
cm ' of � GG
6W W. MAST
L Tn e-eG ' pR.
IIINIIIIIII III11I II 11llllil III I Itlll II II III
9590 9402 5811 0034 6974 06
2. Article Number (Transfer from service label)
�ll I(O! ��« Ss � iSS h
PS Form 3811, July 2015 PSN 7530-02-000-9053
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Priority Mail Express®
0 Adult Signature
0 Registered Mail -
0 Adult Signature Restricted Delivery
0 Registered Mail Restricted
Certified Mail®
Delivery
ertified Mail Restricted Delivery
0 Return Receipt for
0 Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation""^
0 Insured Mail
0 Signature Confirmation
0 Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
USPS TRACKING #
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1
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1 9590 9402 5811 0034 6974 06
United States
Postal Service
Domestic Return Receipt ;
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box*
1021 — 001
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