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fAN&- <br />a,r4-i Fi e8 M a• l <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 />arty(- e- V4" <br />�t43 6,m+ 0 Iq <br />fzrt " , C a T U0� <br />X n ° ❑ Agent <br />i ❑ Addressee <br />B. 94ceived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number p 0 6385 3141 <br />(Transfer from service laben <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />3ostal Service,. <br />ITIFIFn nfinn <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />PHFor delivery information visit our website at www.usps.com® <br />rp <br />IT) Postage $ <br />E3 Postage: ,c '° 3`"rk <br />C3 (E Certified Fee: u OCT _ 3. <br />M R Return Receipt Fee. <br />Q (Ei <br />Total Postage &Fees: soz, t 6. 8 <br />M <br />Sent To <br />rtJ <br />---- - ---- -N ---- - - - - -- D <br />r Street, Apt. No., t`1�1C- - -------- �- ------------------------- ------ <br />or PO Box No. <br />PS Form 3800, August 2006 See Reverse for Instruct-io <br />-- --------- <br />c'o L� <br />