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to . ;ent TO <br />IZ3 Sirsei, dp'r "Tio: �/ •� --- - ' ............... ..... <br />11- �orPoBoxNo. /L,S -D 1 e 4 l/, l <br />r-1 <br />1U <br />U.S. Postal Service <br />No Insurance <br />Coverage Provided) <br />CERTIFIED MAIL .. <br />RECEIPT <br />visit our website <br />(Domestic Mail Only; No Insurance <br />Coverage Provider <br />(,.is' � <br />� 4r <br />U S <br />co <br />For delivery information visit our <br />website at www.usps.com <br />° <br />Certified Fee <br />° <br />° <br />Return Receipt Fee <br />`Z014P Ht <br />° <br />(Endorsement Required) <br />` <br />° <br />(Endorsemdennt Required) <br />�Total <br />Postage & Fees <br />_ <br />7� U s <br />5 <br />ep <br />n1 o r <br />......................... <br />~ <br />or Box PO No. <br />- .... <br />�hl; <br />... . ........ -.._. .............. <br />Sttere,I/P+4 <br />P�� lorm 3800, August 2006 <br />to . ;ent TO <br />IZ3 Sirsei, dp'r "Tio: �/ •� --- - ' ............... ..... <br />11- �orPoBoxNo. /L,S -D 1 e 4 l/, l <br />r-1 <br />1U <br />(Domestic Mail Only; <br />No Insurance <br />Coverage Provided) <br />N <br />For delivery information <br />visit our website <br />at - <br />4. Restricted Delivery? <br />(,.is' � <br />� 4r <br />U S <br />co <br />Postage <br />$ <br />° <br />Certified Fee <br />° <br />° <br />Return Receipt Fee <br />`Z014P Ht <br />° <br />(Endorsement Required) <br />` <br />° <br />(Endorsemdennt Required) <br />�Total <br />Postage & Fees <br />$ <br />7� U s <br />5 <br />ep <br />n1 o r <br />......................... <br />~ <br />or Box PO No. <br />- .... <br />�hl; <br />... . ........ -.._. .............. <br />Sttere,I/P+4 <br />P�� lorm 3800, August 2006 <br />See Reverse for lnstalCtICOS i <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 />94Aj 1. � ' 49 a <br />A. Signature I <br />X <br />E3 Agent <br />0 Addressee <br />B. Received by (Printed Name) C. Date of Delive l <br />-5zC _� <br />D. Is delivery address different from item 1? ED Yes <br />If YES, enter delivery address below: 0 No <br />I <br />I <br />3. Service Type <br />j�Certifed Mail' <br />0 Priority Mail Express'" <br />/a Registered <br />0 Return Receipt for Merchandise <br />0 Insured Mail <br />0 Collect on Delivery <br />4. Restricted Delivery? <br />(Extra Fee) (] Yes <br />2. Article Number 7008 1140 0000 4865 7223 <br />(Transfer from service labeg - -- <br />PS Form 381 1, July 2013 Domestic Return Receipt <br />I <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 too: l <br />117 <br />833 <br />A. Signature <br />X 0 Agent <br />r, <br />i �� �C, ddressee <br />B. Received by (Printed Name) f Deli very <br />D. Is delivery address different from 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />A Certified Mail', 0 Priority Mail Express'" <br />❑ Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7008 1140 0000 4865 7216 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />