HE Certified Mail Receipt 001• Gom Pleta Items ~, 2, end 3. Also cam Plete
Item 41t Resincted Delivery s tlesired.
• Print your name entl addrsss on the reverse
so that we can return tho cartl to you.
• AtTach ttris cartl to the back of the mailpiece,
or on the imnt'R Space permits.
1. Arliole Atldmssed ta_
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e. RaceNed yy r PriOtPA Mem J c. Dare or Deovery
D. Is tlelivery adtlass dlfferenr rrom I(em l4 ~ 1'es
It YES, enter tlellvery etldresa below. ^ No
3 senieervpe
~ILed Mall ^ Express Mall
^ Registered ^ Return Receipt for Merchandise
^ Insuretl Meil ^ C.O D.
a. Resrrloted Dellven'+l~+>a Feat ^ vea
z. nnmle rmr~me` 7305 0390 0000 5333 4927
R mclerr msomce reee9 - .__
PS Form 3811, August 2^ Ra ossesozmtsao
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