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os a - vi <br />IFIED MAIL° RECEIPT <br />is Mall Only <br />ery information, visit our website at www.usps.como. <br />Postage: '4:(1,485 <br />Certified Fee: ;$3,.45 <br />Return Receipt Fee:4�ko I 1 fill*$Z _80 <br />1 <br />4/735 <br />'')17v�` <br />Total Postage & Fees: <br />age & tees 143 I <br />No., ( <br />G . lfl_ i/ <br />do.+ of l dCfkr� O 4v <br />ZIP+4 <br />00, July 2014 <br />20 <br />See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted 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 to the back of the mailpiece, <br />or on the front if space permits. <br />1. <br />Article Addressed to: <br />74ssc11t� <br />atR► 1.(orryibikdAtRof. <br />tV2.0 <br />54(t 14 -let C;�-tJ <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />B. Received <br />(Pn <br />Agent <br />Addressr <br />C. Date of Delivei <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />3. Se e Type <br />Certified Mail' 0 Priority Mail Express'" <br />0 Registered 0 Return Receipt for Merchandis <br />❑ Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 2120 0001 7869 7469 <br />PS Form 3811, July 2013 <br />Certified Mail service provides the following benefits: <br />• A Certified Mail receipt (this portion of the mailpiece; include applicable postage to <br />Certified Mail label). cover the return receipt service fee, and <br />• A unique *lag( for your mftend, oorse the mallplece "Return Receipt <br />• ElectronicMpaaLr see a retail associate for <br />delivery. /b ,,.gstance. For an electronic return receipto , <br />• A record oi�i9lJYe# (including the ecip S �sedA a retail associate for assistance. s <br />g ) 1€t tate return receipt, present <br />Service® for a specified period. this USPS' -postmarked Certified Mail <br />receipt to the retail associate, who will <br />Important Reminders: provide a duplicate return receipt turno <br />• You may purchase Certified Mail service with additional fee. <br />First -Class Mail®, First -Class Package - Restricted delivery service, which provides <br />Service®, or Priority Mail® service delivery to the addressee specified by name, <br />• Certified Mail service is notavailable for or to the addressee's authorized agent <br />international mail. Include applicable postage to cover the <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 receipt service, which provides you present your Certified Mail item at a Post <br />with a re��I Q��y (y�Qlu Office"" ostmarJyng,,If ypu don't need a <br />recipient's4f�r�attiVt�'Ydu`C9ntgAmatIQ)Etrrtaila 1 a11fwastveipt,detach <br />hardcopy returt mg i oyIi St a .. rcoded pg =be(, affix it to the <br />u <br />version. Fora a ostage, and <br />� �r , <br />complete PS Form 3811, Do <br />Receipt, attach PS Form 381 <br />e mailpiece <br />we this receipt for your records. <br />PS Form 3800, July 2014 (Reverse) PSN 7530-02-000-9047 <br />26 Iboo �l <br />M19C <br />Domestic Return Receipt <br />EOZ08 OD'aanuaa <br />opeaolop to a}e4S <br />• Sender: Please print your name, address, and ZIP+4® in this box* <br />921V19 031IN fl <br />oc um <br />g -Dna <br />co 0 <br />z (I) fl7 <br />P ¢oN <br />N T. <br />o N — <br />so <br />>v <br />a <br />