2014-08-29_GENERAL DOCUMENTS - M1978078 (2)

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J m ni a . • No Insurance Coverage . . • . fu For delivery , • r �.. r use Postage g $ —a . �r�"L' . �.. CO Postage $ g0 Q p Certified Fee ., � fi.. , O C3 0 Return Receipt F (Endorsement Required 21114 . AZ" + O Restrbted Delivery Fee (Endorsement Required) Huh s � r zr r=1 Total Postage & Fees 9, A? CO :'Grrr To C3 ��MiWf or PO Box C/ty Srate, ZIP +4 ........................... ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 9 4 At 4 �/ L' ) A. Signature i r 13 Agent X� ❑ Addressee j B. Received by (Printed Name) I C. Date of Delivery I`ll" D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: ❑ No 3. Service Type j�Certified MailO ❑ Priority Mail Express'" gw,3 L. /a Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7008 1140 0000 4865 7223 (Transfer from service labeg PS Form 3811, July 2013 Domestic Return Receipt • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 53.3 A. Signature a X El Agent a _ n '" 4� Addressee B. Received by (Printed Name) C. Date of Delivery D. is delivery address different from item i? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type A Certified Mail" ❑ Priority Mail Express'" ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7008 114 0 0000 4 8 6 5 7 216 , (Transfer from service label) __ PS Form 3811, July 2013 Domestic Return Receipt i ru (Domestic Mail • No Insurance Coverage . . • . N For delivery , • Ln �.. r use Postage g $ . �r�"L' . �.. Q Certified Fee" ° E3 Return Receipt Fee 1014Pest r_3 (Endorsement Required) Huh E3 Restricted Delivery Fee (Endorsement Required) { Total Postage & Fees $ m en' o s Iti - , Mate, Z(P+4 PS I r-ii:0300. Auqust 2006 See Reverse for Instructions i ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 9 4 At 4 �/ L' ) A. Signature i r 13 Agent X� ❑ Addressee j B. Received by (Printed Name) I C. Date of Delivery I`ll" D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: ❑ No 3. Service Type j�Certified MailO ❑ Priority Mail Express'" gw,3 L. /a Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7008 1140 0000 4865 7223 (Transfer from service labeg PS Form 3811, July 2013 Domestic Return Receipt • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 53.3 A. Signature a X El Agent a _ n '" 4� Addressee B. Received by (Printed Name) C. Date of Delivery D. is delivery address different from item i? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type A Certified Mail" ❑ Priority Mail Express'" ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7008 114 0 0000 4 8 6 5 7 216 , (Transfer from service label) __ PS Form 3811, July 2013 Domestic Return Receipt i