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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�. jArticle Addressed to: <br />A. Signs re <br />X <br />B. Received by (Punted Name) <br />D. Is delivery add",�;rf <br />If YES, enfer &livery <br />y <br />❑ Agent <br />Addressee <br />C. Date of Delivery <br />item 17 ❑ Yes <br />i�4-, Inw- 0 No <br />4,- 3. Service Type . ` _ --- <br />✓ G h �%C� ❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />/ <br />C ❑ Insured Mail [I C.O.D. <br />O 4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ?011 0110 0 0 D 2 1021 8555 <br />(Transfer from service IabeQ <br />Domestic Return Receipt <br />PS Form 3811, February 20D4 <br />102595 -02 -M -1540 ; <br />Postal <br />CERTIFIED MAIL,,, <br />RECEIPT <br />`n <br />Ln <br />(Domesti <br />LO <br />frrieffri ,8 <br />' <br />CO <br />64" <br />UE R C-0 6 <br />C - <br />nj <br />O <br />Postage <br />$ <br />$0.70 <br />• <br />f1J <br />=1 <br />Certified Fee <br />Fee <br />$3. • <br />- <br />LP <br />1 _ /M,L N ' <br />O <br />Return Receipt <br />(Endorsement Required) <br />$2,7% <br />Here <br />Restricted Delivery Fee <br />Required) <br />� <br />E-3 <br />(Endorsement <br />$Q.00 - <br />USPS <br />ri <br />ra <br />Total Postage & Fees <br />$ <br />$6.7Q <br />04/17/2014 <br />O <br />Sent To <br />G j/ .. —� <br />r . 1 <br />- ---- - -- -- <br />ApL o ; <br />or PO Box No '/)V-O <br />..... <br />/�b -f%— A /.^ -r"�� _.. °_.......... <br />_--------- __ <br />------------------------------------------------- <br />Cdy, Stafe, ZIP +4�u� <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�. jArticle Addressed to: <br />A. Signs re <br />X <br />B. Received by (Punted Name) <br />D. Is delivery add",�;rf <br />If YES, enfer &livery <br />y <br />❑ Agent <br />Addressee <br />C. Date of Delivery <br />item 17 ❑ Yes <br />i�4-, Inw- 0 No <br />4,- 3. Service Type . ` _ --- <br />✓ G h �%C� ❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />/ <br />C ❑ Insured Mail [I C.O.D. <br />O 4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ?011 0110 0 0 D 2 1021 8555 <br />(Transfer from service IabeQ <br />Domestic Return Receipt <br />PS Form 3811, February 20D4 <br />102595 -02 -M -1540 ; <br />