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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restrictec 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 tr, tha back of the mailpiece, <br />or or :ha front it �)er !ts. <br />1. Article Addressed to: <br />A. <br />A�.ent <br />B. Rec 'ved by (P Wed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />PS Form 3811, July 2013 Domestic Return Receiot <br />• • • • DELIVERY <br />■ Complete items 1, 2, and 3. A. Mature <br />■ Print your name ar,c F-odress on the reverseAij Agent <br />so that 'we can retu°r, :he card to you, Addressee <br />■ Attach this card to the back of the mailpiece, B eived y ,Naame)) C. at of Delivery <br />1. A`21, 3.c _ arse` . Is deliveryad rens different from Item ? ❑ Yes <br />Ai If YES, enter delivery address below: ❑ No <br />3. Service Type <br />i� l <br />❑ Certified Mail* <br />❑ Registered <br />❑ Priority Mail Express" <br />❑ Return Receipt for Merchandise <br />(� <br />❑ Insured Mail <br />❑ Collect on Delivery <br />{ <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Aransferie Number <br />7011 <br />2970 0002 2062 <br />3842 <br />(1Pansfer from service labs!) <br />PS Form 3811, July 2013 Domestic Return Receiot <br />• • • • DELIVERY <br />■ Complete items 1, 2, and 3. A. Mature <br />■ Print your name ar,c F-odress on the reverseAij Agent <br />so that 'we can retu°r, :he card to you, Addressee <br />■ Attach this card to the back of the mailpiece, B eived y ,Naame)) C. at of Delivery <br />1. A`21, 3.c _ arse` . Is deliveryad rens different from Item ? ❑ Yes <br />Ai If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Priority Mail Express® <br />{ <br />Adult Signature <br />13Adult Signature Restricted Delivery <br />Registered13 <br />13 <br />❑ Certified Mall® <br />13 Registered Mall Restricted <br />Delivery <br />9590 9403 01111 5077 4130 07 <br />❑ Certlfied Mall Restricted Delivery <br />❑ Return Recelpt for <br />❑ Collect on Delivery <br />Merchandise <br />2 Ar�cle_t�l�mherllra^ssr'rcroserY/celaball ____— <br />❑ collect onDelivery Restricted Deltvery ❑ Signature ConfinnatlonTm <br />❑ tion <br />Signare7 <br />015 0 6 L - Ci 0007 7566 <br />7 913 1 Restricted Dellvery <br />RestrictedDen very <br />PS Fcrr- c 1 ": , F, >-i : F��r. 7530-32-000-9053 <br />Domestic Return Receipt i <br />