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v V <br /> COMPLETESENDER: COMPLETE THIS SECTION • ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si ture <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Rec ived by(Printed Name) C. late of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> 3. Service Type <br /> S 5o V I I,1 Certified Mail' ❑Priority Mail Express' <br /> ,\ <br /> ❑Registered ❑Return Receipt for Merchandise <br /> C v ' ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 0150 0000 9138 7727 <br /> (transfer from service labeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> (DomesticCERTIFIED MILT,, RECEIPT <br /> ru Only; Provided)TIMM <br /> EO <br /> 4,r i 3 Li <br /> m <br /> Postage: $0.460 <br /> O <br /> Certified Fee: $3.350 „„k <br /> Return Receipt F e UL 2�' $2.750 r• <br /> o <br /> O 'J� _ <br /> CI <br /> Ln Total Postage and 4e_s:; $6.56 <br /> � Total Fos"&Fees I$ <br /> = Sent To <br /> a�1(t-) OWiL �W()l`Ph�u1 <br /> .... <br /> r- or PO Box No. '_ ...... <br /> CIQ State,ZIP+4 �� �.d1X, ) <br />