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_ Complete items 1, 2, and 3. A|so complete

l item 4 if Restricted De|ivery is desired.
l Print your name and address on the reverse . .
so that we can return the card to you. - ` l ' '

l Attach this card to the back of the mailpiece, B' Recelved by (pnnted Name)
or on the front if space permits. ' v _l ` -

D. ls delivery address different from item 17 El Yes

 
 

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C. >Date o_f De|ivery

 
 
 

  

 

 
 
 

 

 

 
 
 
 
  
 
  
 

 

Cenifled Fee ; Arti '
. 1' de Addressed t°' 'lf YES, enter delivery address below: 'El N¢
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rPo sax N¢, ll lnsured Mai| El Co|lect orl De|ivery
l _ _ 4. Restricted De|ivery?{(Extra Fee) E| Yes
_ 2. Arlic|e Number ' -.___,
(Transferfromservicelabeo. 'P|]]_,§ []BDU DI]UU EIBE BL}E?
: PS Form 3811, Ju|y 2013 n Domestic Return Receipt

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