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Cl
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Postage
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t;J
Certified
Fee
t:J
Cl
Return
Receipt
Fee
(Endorsement
Required)
Cl
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Restricted
Delivery
Fee
(Endorsement
Required)
Lil
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Total Postage &
Fees
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'SE;NDER:
COMPLETE THIS SECTION , '
■
Complete items 1, 2,
and
3. Also complete
item 4
If
Restricted Delivery Is desired.
■
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 mallpiece,
or
on the front if space permits:.
$
Postmark
Here
$
C.
Date
of
Delivery
11
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1.
Article
Addressed
to:
D.
Is
delivery
address
different
from
Item
1?
CJ
Yes
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If
YES,
enter
delivery address below: D
No
3. Se!)llce Type
IB"Certified Mall
D Registered
D Insured Mall
□ i;)lpress Mall
&i"'Retum
Receipt
for
Merchandise
□
c,o.o.
4.
Restricted
Delivery?
(Extra
Fee)
□
Yes
2.
Article Number
(rransferfrom service label)
7
□□
6
345
□
□□□□
1757
6043
PS
Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1
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