WQ0000193_Delivery Receipt NOV-2023-LV-0663_20231002

■ Complete items 1, 2, and 3.
■ 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 mailpiece,
or on the front If space permits.
1. Article Addressed to:
111111111 Jill 111111111111111111111111111111111 3
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1 9590 9402 4435 8248 4487 74 s
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7021 2720 0002 3808 2550
PS Form 3811, July 2015 PSN 7530-02-000-9053
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6
B.
D. Is delivery address different from Her
If YES, on r deilveW dr as`be
OCT 0 4 2023
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17 0 yesa,
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ire
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ore Restricted Delivery
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❑ Return Receipt for
elivery
Merchandise
slivery Restricted Delivery
0 Signature Confirmation"-
0 Signature Confirmation
Restricted Delivery
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Domestic Return Receipt