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eo <br />M <br />Domestic Mail Only <br />Er <br />CO <br />L Postage: <br />Certified Fee: <br />$3 <br />ra <br />Return Receipt Fee: <br />C3 <br />L.:. <br />o <br />(En Total Postage <br />Redostricted Delivery Fee <br />& Fees: �. .�. <br />$6.73 <br />0 <br />(Enrsement Required) <br />y , <br />ru <br />r-3 <br />Total Postage & Fees <br />„✓' / <br />ru <br />.. <br />Sent To <br />r3 <br />-------------- - --------------------------------------- <br />� <br />Street & Apt. No., Q Pr- <br />or PO Box No. 13901 A m /r - <br />_1 ---% - <br />------ <br />City, State, Z/P+4 <br />_ rb corm suUU, July ?U14 See Reverse for Instructions I <br />Certified Mail service provid i� s: <br />I� <br />■ A Certified Mail receipt (this portion of the iiSEf <br />Certifie <br />■Aunigt C-1981-014 FEB 182016 ;Ipt, <br />■ Electra <br />deliverl <br />■Aracer J <br />m <br />signatu <br />Service Inspection f � � <br />C Y� <br />an <br />• You RDZ <br />You mal <br />First -Ch _ _._... ,,. r ��, vmc, vvwcn proviOeS <br />Service°, ... , , . y n a ' aei vice. delivery to the addressee specified by name, <br />■ Certified Mail service is not available for Include addressee's <br />postage to cover the <br />international mail. <br />■ Insurance coverage is not available for restricted delivery fee and endorse the <br />purchase with Certified Mail service. However, mailpiece "Restricted Delivery," or see a <br />the purchase of Certified Mail service does not retail associate for assistance. <br />change the insurance coverage automatically ■ To ensure that your Certified Mail receipt is <br />included with certain Priority Mail items. accepted as legal proof of mailing, it should <br />■ For an additional fee, you may request the bear a USPS postmark. If you would like a <br />following services: postmark on this Certified Mail receipt, please <br />- Return rece' seivtye, which rovides you present your Certified Mail item at a Post <br />�t t need a <br />with arecoilAW�O/lVIRt lamati � ipt, detach <br />hardcopy sign tt�l�ej].xxous requests ._� rA ft affix fttothe <br />hardcopy or a hardcopy <br />rete emefl $t. al°tPl�°f(�YP %stage, and <br />version. For a hardcopy rete eipt a mailpiece. <br />complete PS Form 3811, Do <br />Receipt; attach PS Form 381 this receipt for your reprda. <br />PS Form 3800, July 2014 (Reverse) PSN 7530-02-000.9047 <br />