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■ 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 />�Lti Co►nnmi 5.SIOi"d <br />0, to sCAO <br />`6'0131 <br />I <br />i <br />A. Signature <br />❑ Agent <br />X ❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery I <br />I <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />I <br />I <br />I <br />3. Service Type <br />01 Certified Mail ❑ Express Mail <br />❑ Registered O Return Recelpt for Merchandise <br />O Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />i (Transfer from service /abet) <br />i <br />II PS Form 3811, February 2004 _ Domestic Return Receipt 102595-02-M-15401 <br />r� <br />J] <br />Ln <br />N <br />ru <br />M <br />M <br />m <br />C <br />C <br />C <br />C <br />C <br />J <br />rl <br />n <br />r <br />C <br />IF <br />Postal <br />CERTIFIED MAIL,,,, <br />RECEIPT <br />r� <br />r� <br />(Domestic only; No Insurance <br />Coverage . <br />Ln <br />r` <br />iti <br />Ln <br />r`- <br />ru <br />ru <br />$ <br />-- ---- -- m <br />M <br />m <br />m <br />Postage $ <br />co <br />co <br />�.�.. <br />C3 <br />0 <br />Certified Fee <br />Postmark <br />�...� <br />C3 <br />CI <br />CI <br />0 <br />Return Receipt Fee <br />(Endorsement Required) <br />Here <br />C3 <br />0 <br />Restricted Delivery Fee <br />— C] <br />0 <br />(Endorsement Required) <br />M <br />= <br />-0 <br />= <br />Total Postage & Fees <br />m <br />m <br />N <br />ru <br />o <br />nt h <br />C3 <br />APC riro.: I <br />O j �( <br />or PO Box No. !. <br />S_r4r.i_ ......................... <br />in -, <br />