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~\!\/ork Assignment:
1

 

 

 

 

 

 

|SPOS|T|ON: (|nmate will not write in this space)

 

11-60 (Fiev. 11-90) ` v x

  

   

l Cornp|ete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery' ls desired.
` l Print your name and address on the reverse
so that we can return the card to you. .
l Attach this card to the back of the mailpiece,
or on the front if space permits.

w(s\(~`>`

Wl?5 '
\\/ediw
;6:191<> l l Jllw)

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EI Agent
' l:! Addressee

G. lDate Qf Delivery

 
 
 
 

  
    

B. necelved by (Prinred Nar`ne)`

 

 

 

1
cemned' Fee

 
  
  
 

 

> - Retum Fiecel Fe
(Endorsement Reqp;l§red(`)!

Restn'cted Del|ve Eee
[Endorsement Reqri¥lréd)

  

 

11 1. Articie Addressed to:

é::Sll\Qr ®ng\lcicli> -C\e(k
\\\0 \/}<;‘ln>nc\ s\- Cgi,< 105)
"Lcivede inc 'lCrOLIZ '

2. Artic|e Number --_
(Transfer from service labe0

g PS Forml 3811, Ju|y 2013

D. 15 delivery address different fidm item 1? El Yes
lf YES, enter delivery address beiow: ~L'.| No

 

 

 

3. §y§e Type.
Certitied Mail° E| Priority Mail Express“‘
['] Registered EI Return F|eceipt for Merchandise
l:l Insured Mail |'_'l Co|lect on Delivery

4. Restricted Delivery? (Extra Fee) lII Yes

 

_ ?CILB Di=|][_l DD|JU ELBid BHE?

Domestic Return Receipt

RE@EW'"` _`
@©uRTOFCP""“' jill-3

1111 29 xiii

eni`eeeee, diem 5

 
 

