2016-02-09_PERMIT FILE - M2015028

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SENDER: COMPLETE THIS SECTION N . Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Ba('Uarot 3acs 3/ S . Ba ? 5 ' s+. L -a Ice , !� 80.22(0 1915!!!',!!!"1.1!!"5!!!!"171!))! 91 1!! 0 2. Article Number (Transfer from service label) 5 0640 0006 0971 212x. PS Form 3811, April 2015 PSN 7530-02-000-9053 Com 'I_ETE THIS SECTION ON DEHVERY A. Signature X eiv�ld by (Printed Name) ❑ Agent .dressee C. Dat f elivery address different from item 1? ❑ Yes YES, enter delivery address below: .lo 3 a ervice Type ❑ f(tiuit Signature ❑ Adult Signature Restricted Delivery ertified Mall® ❑ ertifled Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery • ❑ Insured Mall K "❑ Insured Mall Restricted Delivery • over $500) ❑ Priority Mall Express® ❑ Registered MaliTM ❑ Registered Mall Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmatlonTM ❑ Signature Confirmation Restricted Delivtiiy Domestic Return -Receipt SENDER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpie or on the front if space permits. COMPLETE THIS SECTION ON DELIVERY B. Received by (Printed Name) ❑ Agent Addressee ' C. Date of Delivery 1. Article Addressed to: 5.1 -civ„ moo re_ Po 13.Q/' 67 , CU 04Liy - bCato" IIIIM�IIIlYIINI '714!',12119 ,�,o ,vo, oo„ ,o,� I 2. Article Number 'Transfer from service labell_ 7015 0640 0006 0971 2109 D. Is delivery address different from Item 1? 0 Yes If YES, enter delivery address below: 0 No 3. Service Type O Adult Signature ❑ Adult Signature Restricted Delivery ;(SXCertifled Mall® ❑ Certified Mall Restricted Delivery ❑ Collect on Delivery O Collect on Delivery Restricted Delivery ❑ Insured Mall ❑ Insured Mall Restricted Delivery (over $500) ❑ Priority Mali Express® ❑ Registered MaiITM O Registered Mali Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature Confirmation?M ❑ Signature Confirmation Restricted Delivery PS Form 3811, April 2015 PSN 7530-02-000-9053 • Domestic Return Receipt