INFE?
<br />117 M
<br />❑ Agent
<br />;
<br />! U'
<br />17-91
<br />W�&'
<br />R CO 80729
<br />C. Date of Delivery
<br />rn
<br />I
<br />Er
<br />Er
<br />-
<br />U .49
<br />0197
<br />$0.49
<br />T
<br />01,97
<br />$3.30
<br />2.5
<br />E3
<br />Heiurn rl,
<br />$2.70
<br />Here
<br />d
<br />(Endorsoment Requin,d)
<br />P
<br />E3
<br />(Erdcr��cmnt Roquir,d)
<br />[:3
<br />$2.70
<br />$0.00
<br />E3
<br />Re,qbict-d D, ltv---ry Fue,
<br />C3
<br />(Endorsomcnt r3r,p,irrId)
<br />Rc qwr,,d)
<br />Er
<br />ED
<br />Total Postiq- & Fees
<br />[$ $6.49
<br />Er
<br />E3
<br />T.tal Posr,,, n F,(-",
<br />$6.49
<br />05/1"14
<br />rq
<br />rn
<br />r-q
<br />--ye-rF Tl
<br />-- -
<br />----- ---
<br />Cr3
<br />or PO Ba" No
<br />�ot Aot N-1:
<br />o F 0 B No t "
<br />--------- - -- --- ------------- ---
<br />- - -
<br />----•-- --'-------...-- ------------- -
<br />Z -4
<br />C,ty, st'l t,: ZIP 4 &-vaocr.
<br />0--7 QA
<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 />6-7
<br />QL
<br />A.
<br />X
<br />❑ Agent
<br />B, RVelved by (Printed lame) kJ I C Date of Delivery
<br />D. Is delivery address different from.Xem 1? ❑ Yes
<br />If YES, enter delivery address below: ❑ No
<br />3. Service Type
<br />❑ Certified MaiP ❑ Priority Mail Express'
<br />❑ Registered ❑ Return Receipt for Merchandise
<br />❑ Insured Mail ❑ Collect on Delivery
<br />4. Restricted Delivery? (Extra Fee) ❑ Yes
<br />2. Article Number 7013 1090 0001 8993 1693
<br />(Transfer from service label) --
<br />Fps —Form 3811, July 2013 Domestic; Return Receipt
<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 mailpie ce,
<br />or on the front if space permits. —
<br />1. Art-,cl, -Addressed to:
<br />2.
<br />2054-
<br />$0.49
<br />2-5
<br />$2.7©
<br />x. 00
<br />16.49 10 6
<br />-J - 5/14/2 14
<br />Vj y Osli
<br />'V- LfA
<br />A Sign e
<br />❑ Agent
<br />X ❑
<br />Co
<br />B.' e ived by (Print n
<br />C. Date of Delivery
<br />n-
<br />M
<br />-
<br />117
<br />117
<br />$0.49
<br />T
<br />01,97
<br />$3.30
<br />2.5
<br />E3
<br />Heiurn rl,
<br />$2.70
<br />Here
<br />d
<br />(Endorsoment Requin,d)
<br />[:3
<br />Restrict_ d Ddiv,ty Fee
<br />$0.00
<br />C3
<br />(Endorsomcnt r3r,p,irrId)
<br />Er
<br />ED
<br />Total Postiq- & Fees
<br />[$ $6.49
<br />OS/W20I4
<br />M
<br />r-q
<br />- - ---- ------- - ---------
<br />- ------------
<br />�ot Aot N-1:
<br />o F 0 B No t "
<br />� C) a'k`
<br />----•-- --'-------...-- ------------- -
<br />Z -4
<br />-------- --- - --
<br />❑ Agent
<br />B, RVelved by (Printed lame) kJ I C Date of Delivery
<br />D. Is delivery address different from.Xem 1? ❑ Yes
<br />If YES, enter delivery address below: ❑ No
<br />3. Service Type
<br />❑ Certified MaiP ❑ Priority Mail Express'
<br />❑ Registered ❑ Return Receipt for Merchandise
<br />❑ Insured Mail ❑ Collect on Delivery
<br />4. Restricted Delivery? (Extra Fee) ❑ Yes
<br />2. Article Number 7013 1090 0001 8993 1693
<br />(Transfer from service label) --
<br />Fps —Form 3811, July 2013 Domestic; Return Receipt
<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 mailpie ce,
<br />or on the front if space permits. —
<br />1. Art-,cl, -Addressed to:
<br />2.
<br />2054-
<br />$0.49
<br />2-5
<br />$2.7©
<br />x. 00
<br />16.49 10 6
<br />-J - 5/14/2 14
<br />Vj y Osli
<br />'V- LfA
<br />A Sign e
<br />❑ Agent
<br />X ❑
<br />❑ Addressee
<br />B.' e ived by (Print n
<br />C. Date of Delivery
<br />n-
<br />-3T-
<br />eiceType
<br />❑ Certified "led Mail'
<br />❑ Registered
<br />❑ Insured Mail
<br />------- I-
<br />-IL ` —4 dbk 1
<br />Vk—�iAl bkVm
<br />❑ Priority Mail Express"
<br />❑ Return Receipt for Merchandise
<br />❑ Collect on Delivery
<br />Y 1" 11'a te ey Yes
<br />- -
<br />U 013
<br />PS Form 3811, 1 Domestic Return R eceipt
<br />
|