_GENERAL DOCUMENTS - M2003016 ‎(4)‎

• Permit No: M2003016
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Certified Mail Receipt
• Media Type: D
• Archive: No

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SENDER- COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. ,�— t
s Print your name and address on the reverse X Udressee
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so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
Ms. Amy Burns _
Wells Fargo Insurance Services U`3A, Inc.
400 Hwy 169 South 8th Floor
St. Louis Park, MN 55426
3. Service Type
- - ZSCertified Mail® ❑Priority Mail Express-
El Registered ❑Return Receipt for Merchandise j
❑Insured Mail ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) ❑Yes i
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2. Article Number
(transfer from service label) 7 014 0150 0000 9138 8502
S Form 3811,July 2013 Domestic Return Receipt