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750 NE 96 St (6)0, co (0 a ^' SENDER: • Complete items 1 and /or 2 for additional services. H • Complete items 3, and 4a & b. • ?riot your name and address on the reverse of this form so that we can ret n this card to you. • Attach this form to the front of the mailpiece, or on the back if space does not permit. • • Write "Return Receipt Requested" on the mailpiece below the article number • • The Return Receipt will show to whom the article was delivered and the date G • delivered. 3. Article Addressed to: CD CD c E 0 cn 0 rn W cc 4 ML. & Mrs. Gabriel Rodriguez 750 N.E. 96th Street Miami Shores, FL 33138 cc 5. Signature (Addressee) D H W cc 6. S t rrne (Agent) y n�. / ca • PS Form 3811, December 1. 1 * U.S.G.P f. : 199 No Insurance Coverage Provided t4•TED ST4TE5 EDSTETSEAT Do not use for International Mail (See Reverse) :&ts, : FL 33138 Return Receipt Showing to Whom & Date Delivered 4a. Article Number Z 228 598 926 4b. Service Type ❑ Registered Ii Certified ❑ Express Mail 7. Date of Delivery 8. Addressee's Address (Only if requested Y and fee is paid) W 07 -530 DOMESTIC RETURN RECEIPT I also wish to receive the following services (for an extra c fee): 1. ❑ Addressee's Address y 2. El Restricted Delivery m Consult postmaster for fee. cC m CC 0► N ❑ Insured ❑ COD ❑ Return Receipt for Merchandise 0 w -9 H