X' □ AddresseeB. Received by (Printed Name) C. Date of Delivery//-3 3-YOD. Is delivery address different from Item 1? □ YesIf YES, enter delivery address below: D No3. Service TypeJ^Certrfted Malt □ RegisteredD Insured Mail D Express MallD Return Receipt for MerchandiseD C.O.D.4. Restricted Delivery?
Allowed
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