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• Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />C 1 } CCU• <br />A. Signature <br />X - ' ❑ Agent <br />❑ Address <br />B. Received by (PrMfed Name) C. Date of Delive <br />T/ �•> �� �� cif" � � �����,� <br />D. Is delivery address diff6mnt from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se Ice lype <br />Se <br />Mail OJExpress Mail <br />❑ Registered VReturn Receipt for Merchandl: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service label) 91 ?108 2133 3939 0 0 2 9 4352 <br />'S Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -15 <br />• Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front If space permits. <br />1. Article Addressed to: r <br />a�2I -c ISO L -av <br />3 2 U <br />f_ /IiYer✓ <br />A. Sign tur,, / <br />X /*12l ; gen <br />F/ <br />qR <br />�by (Prin /I Ante of Dvei <br />b. Ifdggery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />& ertitied Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merohandis <br />❑ Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />?. Article Number <br />(1mnsfer from service label) 91 7108 2133 3939 2 9 4 4 1768 <br />l) <br />I'S Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -15 <br />