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U.S. Postal Service'" <br /> CERTIFIED MAILO RECEIPT <br /> ul Domestic Mali Only <br /> ru <br /> Ln <br /> CO <br /> CO <br /> r- Postage: $0.465 <br /> r_3 certified Fee: �A'Vf <br /> C3 Re, $3.300 <br /> E3 (Endorse Return Receipt F $2.700 <br /> C3 Restric <br /> (Endors <br /> ru Total Postage & Fee: C,4 <br /> r_j Total Postage&Fees �$6.465 <br /> ni <br /> Sent To <br /> Z2_ <br /> Street&Apt No.. <br /> —------------------------------------- <br /> C:3 0, <br /> 17� PO Box_No. <br /> -----9'.L Irv.i0s,.,!t <br /> City,State,ZIP+4 <br /> PS Form 3800,July 2014 See Reverse for In­ <br /> Certified Mail service provides the following benefits: <br /> •A Certified Mali receipt(SOLmon of the mallplece;Include applicable postage to <br /> Certified Mail label). cover!fie return receipt service fee;and <br /> •A unique Identifier for ycFftiplece, endorse the mallplece"Return Receipt <br /> •Electronic verification of defive ed,"or see a retail associate for <br /> delivery. assistance.For an electronic return receipt, <br /> •A record of delivery(including the recipient's see a retail associate for assistance.To <br /> signature)that is retained by the Postal receive a duplicate return receipt,present <br /> Service®for a specified period. this USPSO-postmarked Certified Mail <br /> receipt to the retail associate,who will <br /> Important Reminders. provide a duplicate return receipt for no <br /> •You may purchase Certified Mail service with additiqnal fee. I <br /> First-Class Mail®,First-Class Package -Restricted delivery service,which provides <br /> ServiceO,or Priority MOO service. delivery to the addressee specified by name <br /> •Certified Mail service Is not available 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, mallpiece"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 record of delivery(including the Office-for postmarking.If you don't need a <br /> recipients signature).You can stmark an this Certified Mail receipt,detect, <br /> hardcopy return receipt or an evft 139 e � his label,affix ittothi <br /> version.For a hardcopy return sitece,opa"pilgate postage,and <br /> complete PS Form 3811,Domjftw, Cd 2ftallpiece. <br /> Recelpt,attach PS Form 3811 to your IMPOMW Sava this F"Pt for your rOCOfdL <br />