COMPLETE • • • • I • • • • • I • SECTION • 1 • DELIVERY
<br /> • Complete items 1,2,and 3. A. Signature l R! ;omplete items 1,2,and 3. A.� lure • Complete items 1,2,and 3. A. S tune AgeS
<br /> • Print your name and address on the reverse X ` ❑Agent ' ■print your name and address on the reverse X s' ---' 13 Age" ■ Print your name and address on the reverse X �� [3 Addressee
<br /> so that we can return the card to you. ❑Addressee so that we can return the card to you. so that we can return the card to you.
<br /> Recelveeby(Pdh Name) C. Date of Deliv B _Ceti (Panted Name) R.Date of Delivery B. Received by(Panted Name) C. Date of Delivery
<br /> • Attach this card to the back of the mail lace, ■ Attach this card to the back of the mail lace ■ Attach this card to the back of the mailpiece, •
<br /> or on the front if space permits. p -/7�� or on the front if space permits. p ' ( - or on the front if space permits. �f"t�l�' 7-0 n�j /l�G/r
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<br /> 1. Article Addressed to: D. Is delivery address different item 1? ❑Yes 1. Article Addressed to: D.is delivery address d item 1? ❑Yes 1. Article Addressed to: D. is delivery address different from item 1? ❑Yes
<br /> j-� F If YES,enter delivery address below: ❑No .���rk If YES,enter delivery address below: ❑No f tdiri, l I /�_fin If YES,enter delivery address below: El No
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<br /> 11111111111 111111I I ll 111111 ill I l l l 11 l I I l ill °Adult Sgnature ❑Registered MaIITM ❑Adult Signature ❑Registered Mahn^ ❑Adult Signature ❑Registered MaIITM
<br /> ❑Adult Signature Restricted Delivery ❑R istered Mall Restricted , ❑Certified Mall® ❑Certified Mall®
<br /> ❑Certified Men® ° 9590 9402 1875 6104 1245 75 ❑certified Mall Restricted Delivery ❑ for ❑Certified Mail Restdated Ddhery ❑Return ReDW for
<br /> 9590 9402 1875 6104 1246 05 a certified Mall Restricted Delivery ❑ %1pt for 9590 9402 1875 6104 1246 29
<br /> ❑Collect ant Y ❑Collect on Delivery � ❑Collect on Delivery Signature
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<br /> 2. Article Number(lianster from service IabeQ ❑Cofiect err Delivery RaeMated Delivery ❑Signature Confirmations" 2. Article Number{flan!sfer from service label) ❑Collect on Delivery Restricted Delivery ❑SIGnsturs bn- 2• Awe Number(Transfer from service label) ❑Collect on Delivery Restricted Dell% ❑Sgnature Confirmation
<br /> ❑b m"d Man ❑Signature Confirmation ❑Insured Mall ❑& ❑Insured Mall ❑Sgnature Confirmation
<br /> 3 2250 0000 7021 2600 ° M�1 Reamcced D�Ivary Restricted Delivery D 13 2 2 5 0 D D D O 7 D 21 2 6 31 01 + 'Restricted Delivery Restricted°ell"ery 13 2250 0000 7021 2587 °i"st.re�t"fian'�eatr'ccad°a""an'
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<br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS����July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS Form 3811,JUIy 2015 PSN 7530-D2-000-9053 Domestic Return Receipt
<br /> SECTION ON DELIVERY
<br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY SENDEi-*.: COMPLETE THIS SECTION COMPLETE THIS SENDER: GO—PLETE THIS SECTION COMPt�TE THIS SECTION ON DELIVERY
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<br /> • Complete Items 1,2,and 3. A afore ■-{ y1 Ytems 1,2,and 3. A. 14 Agent ■ Complete 1,2,and 3. A �9 natu ❑ ern
<br /> • Print your name and address on the reverse X Z ❑Agent •, y0=jVme and address on the reverse ❑Addressee • Print your name and address on the reverse X
<br /> so that we can return the card to you. ❑Addressee
<br /> y ❑ �, n return the card to you. B. Received by(Panted Name) C. Delivery so that we can return the card to you. B. ivarne) pate of
<br /> • Attach this card to the back of the mailpiece, B ved by Name) � Of MY •'Attach this Cana to the back of the mailpiece, ■ Attach this card to the back of the mailpiece,
<br /> or on the front if space permits. or on the front if space permits.
<br /> 17 or on the front if space permits. T
<br /> 1. Article to: D. Is delivery address different from item 1? 1. Article Addressed to: D. Is delivery address different from item 1? VW. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
<br /> r if YES,enter delivery address below >�l0 1 ���`)� If YES,enter delivery address below: ❑No
<br /> )J / ('1'� las, If YES,etrterdelivery address below ❑ ove�` t +� l
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<br /> Il I Il 1111I 1 3, Service Type 13 Priority Mall TM�aIlllllIIII IIII1I111III11IIIIIIllIIIIll1III 3. Service re Priority Md l Expresse °A SnaN ❑ o ❑Adultt 3 g ❑Registered MallR❑Adult Signature ❑Registered Mai ❑Adult Siature Restricted Delivery ❑O d Mau Reetttoed ❑Adult Signature Restricted Delivery ❑Ae�Mall Restrict
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<br /> ❑Certified Msil®
<br /> 9590 9402 1875 6104 1245 99 ❑Cermw Man Reeiriomd oWWW °0: t�eoelpt for 9590 9402 1875 6104 1245 37 ❑Certified Mall Restricted Dallvety 0 for 9590 9402 1875 6104 1246 67 °wed f'usfl Reamoted°elivea' OM'm ReoWfor
<br /> ❑Collect on Delivery D Signature ConfirrnationTM ❑Conecton Delivery
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<br /> ❑CotbotonDdlvery
<br /> i,, ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation 2. Ardtle Number(1YwWw from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation^"
<br /> 2 Article Number(Iiensfer from service label ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation 2 p�{�Number(rFarfsfer from service label) ❑Insured Mall ❑Insured Mail ❑Signature Confirmation
<br /> ❑Instead Wait ❑Sgnature Confirmation Restricted Delivery Restricted Deily
<br /> L 3 2250 0000 7021 2 617 ❑f Man Restricted Delivery Restricted Delivery 013 2250 0000 7021 2679 °"M g 'Restricted Delivery ,3 2 2 5 0 0 0 0 0 7 Q 21 2 5 4 9 °i a Mal Restricted Delivery en'
<br /> Domestic Return Receipt PS Form Jul
<br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS Form 3$1'1,July 2015 PSN 7530-02-000-9053 � y 2015 PSN 7530-02-000-8053 Domestic Return Receipt ;
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<br /> • • SEN• - • • COMPLETE
<br /> COMPLETE • • • • / •
<br /> A.Si ■ Complete Items 1,2,and 3. A fg vel-.,Ijl
<br /> • Complete items 1,2,and 3. A ■ Complete items 1,2,and 3. ?: ger� • Print your name and address On the reverse zT71 Agent
<br /> ❑Agent print■ Print our name and address on the reverseW your name and address on the reverse''• so that we can return the card toy X ❑Addressee So that we can return the card to ou. ❑P+ddrassae �'
<br /> so that we can return the card to you. by f ) y ■ Attach this card to the back of the mall Iece, red by(t'+/Rted
<br /> • Attach this card to the back of the mall Iece, C.D of Delivery ■ Attach this card to the back of the mailpiece, Recelved by t7��Name) C pate of Delivery p �f ) C Date of Delivery
<br /> por on the front if space permits.
<br /> or on the front if space permits. Z or on the front if space permits. fill,Lc/�7" r?!r°►"-9— 7 t' 6
<br /> 1. Article Addressed to: D. Is
<br /> 1. Article Add to: D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: D.Is delivery address different from item 11 ❑Yea If 11E address different from item 1? Yes
<br /> ,s If YES,enter delivery address below: ❑No If YES,enter delivery address below ❑No A� r 1 �i G f etivery address below: �No
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<br /> 3 ServiceT pe ❑Pft*Mel 6Wr�eID IIIIIIIII IIII IIIIIIIII rill Ill IIIIIII 1111111111 3 Service Type ❑FModly Mall Express®
<br /> ' 3. tdetvkre Type ❑Priority Mail Express® Il I Illlll IIiI Ill I Il I ll l Il(II I I Ii I II Ill l it Il Ill T" ❑Adult Signature
<br /> II I Illlll IIiI Ili I II I II I ll( ll1 I ill111 III 1 I II Ill ❑Adult Signature ❑Registered MaIITM ❑Adati ❑Regfatered Men Signature ❑Registered MaIITM
<br /> ❑Adult Signature Restricted Delivery ❑ Istered Mall ResMcted ❑Adult Signature ResMoied I)eRvary d elated Man ResUicted Cdert�fled Restricted Delivery ❑�epister•d Mall Restricted
<br /> ❑Certified Mall® o every ❑ very 9590 9402 1875 6104 1245 68 ❑ceraasd Mee Restricted ��YY
<br /> 9590 9402 1875 6104 1245 51 ❑Certified Mall Restricted DdWery ❑Return Receipt for 9590 9402 1875 6104 1246 12 ❑Certfied Man Restricted Delivery o Return Receipt for Defi+rmy ❑Relum Receipt for
<br /> E3 Coiled on Dallverry � ❑Coiled on oewery �•
<br /> ❑Collect on Delivery ❑Signature ❑Collect on Delivery Restricted penvary ❑Sgnature CCdifirrrtatlonTM 2. Article Number(Transfe/from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConflrmationTM
<br /> ❑Collect on Delivery Restricted Delivery 9 2• Arse Number(i'tsfw from service klbO 0 SignatureCAnfirmatls>n ❑Insured Mail Cl Signature Confirmaton
<br /> 2. Article Number(Transfer from service/abeD ❑Insured Man ❑signature Confirmation ❑Irmured Man R y 13 2 2 5 0 D D D Q 7 0 21 2 6 4 8 ❑ nsured Man Restricted Delivery Restricted Delivery
<br /> 13 2250 0000 7021 2662 ❑ , Md►1Restricted°ellvery Restricted Delivery 013 2250 D Q 0 0 ?Q 21 2 5 9 4 ° ""�Restricted De1Ni�'
<br /> _ _._._.. ._ __.__.__-_ - ------------- � PS Form 3811,July 2015 PSN 7530-02-000-9053
<br /> PS Form 3811,July 2015 PSN 7530-02-OOD-9053 Domestic Return Receipt i PS Fomt $1 ,JUIy 2015 PSN 7530-02-000-9053 Domestic Realm Receipt Domestic Retum Receptrt
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