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■ mplete ,2;4 • <br />■ fnt<yourvname and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the maiiplece, <br />or on the front if space permits. <br />A.. Signature�( <br />A.��� <br />C —.¢�'C <br />B. Received by (Printed Name) U <br />❑ Agent <br />0 Addressee <br />C. Date of Delivery <br />1. Article Addressed to: <br />po Thc7-x- 0 <br />�c <br />01,No Syrr,(55i Co r_ <br />gaffs � <br />1111111111111111111111111111111111111111111111 <br />D. Is delivery address differs from item 1? 0 Yes <br />If YES, enter delivery a r q elcw: ❑ No <br />3. Service Type _ON W djpl iority Mail Express® • <br />❑ Adult Signature �---..._.—•--Registered MailTM <br />Adult Signature Restricted Delivery 0 Registered Mail Restricted <br />Certified Mali® Delivery <br />O edified Mail Restricted Delivery 0 Return <br />ipt for <br />9590 9403 0908 5223 9533 82 0 Collect on Delivery <br />2,11,f,etet_ <br />N.,m>� <br />^ ^-0-----�elivery Restricted Dellvbry 0 Signature ConfirmatlonYM <br />7 015 1660 0000 0 611 6693 0 Signature Confirmation, <br />over <br />Restricted Delivery• Restricted Delivery <br />PSForm 3811, Juiyt2015 PSN 7530-02-0pto--9053 <br />Domestic Return Receipt <br />• ':.;F:1' <br />SENDER: COMPLETE THiS SECTION <br />• Coftjftte Items 1, 2, and 3. <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 mallpfece, <br />or on the front if space permits. <br />COMPLETE MIS SECTION ON DELIVERY <br />A. Si <br />X <br />❑ Agent <br />❑ Addressee <br />1. Article Addressed to: <br />U 4 L CrQS.- ?'a ra+Jo^ <br />lt5n Golden CCIra+st <br />Go\dv' t Co ; <br />goy o i <br />11111111111111111111111111111111111111111111 <br />9590 9403 0908 5223 9533 79 <br />2, <br />ecalved by 1-r1$ed Name) <br />0. Is deliWirry .. die <br />C. Date of Delivery <br />from item 1? ❑ Yes <br />ifFY ntrerdel _ address below: 0 No <br />3. Service Type <br />El Adult Signature <br />❑ Adult Signature Restricted Delivery <br />El Certified Mail® <br />13 Certified Mail Restricted Delivery <br />❑ Collect on Delivery <br />Restricted Delivery <br />7015 1660 0000 0611 6716 estrictedDelivery <br />—�vTrgi.n500}'-- <br />0 Priority Mall Express® <br />0 Registered Ma11TM <br />❑ Registered Mail Restricted <br />Delivery <br />0 Return Receipt for <br />Merchandise <br />❑ Signature ConfirmationrM <br />0 Signature Confirmation <br />Restricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />SENDER: COMPLETE THIS SECTION <br />■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />NI Attach this card to the back of the r ailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />40101 <br />COMPLETE TMS SECTION ON DELIVERY <br />A. Signature - <br />X-�. <br />B. Received by (Printed Name) <br />YV1 kers S <br />❑ Agent <br />❑ Addressee <br />C. Date of Delluery <br />flOIS <br />di- wary F0-1-tr. <br />ic_Q,rrtS <br />iia. Dr. <br />aaut (0 80302. <br />iueimiiiinoruumuiuuiaiu <br />9590 9401 aos, ,o„ 7472 24 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: p No <br />2. Article Number (Transfer from service label) <br />7015 0640 0006 0971 2093 <br />PS Form 3811, April 2015 PSN 7530-02-000-9053 <br />3. Service Type <br />❑ Adult Signature <br />❑ Adult Signature Restricted Delivery <br />iCertified Mall® <br />❑ Certified Mail Restricted Delivery <br />0 Collect on Delivery <br />❑ Collect on Delivery Restricted Delivery <br />❑ Insured Mail <br />❑ Insured Mail Restricted Delivery <br />(over $500) <br />❑ Priority Mali Express® <br />❑ Registered Mali"M <br />❑ Registered Mail Restricted <br />Delivery <br />❑ Return Receipt for <br />Merchandise <br />❑ Signature Conflrmation"M <br />0 Signature Confirmation <br />Restricted Delivery <br />Domestic Retur"n Receipt <br />