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Opc-- <br />M - 2UC:h)-031 <br />ar-tifi-e-3 Had <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: <br />l,,eek- <br />8 <br />IL Cb <br />c6'av7 <br />A. Signature <br />X— ,-/- <br />B. Received by ( Printed Name) <br />l ❑ Addressee <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. See ice Type <br />Q Certified Maii ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑Yes <br />2. Article Number 7011 3500 0002 9607 5202 <br />(transfer from service tabei) — <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />(Domestic Mail Onty; No Insurance Coverage Provided) <br />ru <br />Ln For, delivery info ,1 <br />rms <br />postage: t <br />M Certified Fee: <br />Er Return Receipt Fee, <br />C3 Re, Total Postage & Fees: <br />$6.11 <br />CO (Endorsen <br />0 <br />Restricted Delivery Fee <br />0 (Endorsement Required) <br />C3 <br />Lr) Total Postage & Fees <br />M <br />Sent To <br />----------------- - - - - - ------------------------------------ <br />p Street, Apt. No.; A <br />r. or PO Box No. -- (3 ' I- � <br />-- ---- - ---- ------ ---- _- � <br />° --- ------------------------------ <br />City, State, ZIP +4 cb C© O <br />r� <br />PS Form 3800, August 2006 See Reverse for Instructions <br />