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Plostal Service,. <br />TIFIFD MAIL. F <br />m <br />M <br />Er Postage <br />ul <br />Certified Fee <br />I t 3 ]t! <br />o <br />C3 Return Receipt Fee l g = f <br />0 (Endorsement Required) <br />C3 Restricted Delivory Fee O <br />(Endorsement R( ulred) <br />—0 Total Postage& Fees I $ 'Xi- 7w'2 ! <br />ril -- -- <br />ent To c� <br />o <br />r' -- PO Box NO.____!__a _.___ � __.Q.> _ ----- -.--------_-____------_- <br />City, State, ZIP+4 r �/ <br />PS Form 3800, August 200C j� See Reverqe for ln�trurlirii� <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />M 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 />jl j�Yt I h! /�t ✓� R' �'� i I <br />Olonsc,eV.4tlon <br />Q. Boy- 93 <br />35i 7-a--Sfeeer <br />fteKe -R, CC <br />2. Article Number <br />— (Transfer from service labeq <br />PS Form 3811, July 2013 <br />A. SoRature �iq /j <br />X % 1! �`I & ❑ 0 Agent <br />Addressee <br />B. Received by Obited N.) C. D of <br />3TT <br />D. Is delivery address differant from item 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Marl' ❑ Priorlty Mail Express° <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted DeWery? (Extra Fee) ❑ Yes <br />7013 2630 0000 5961 7381 <br />Domestic Return Receipt <br />