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Postal <br /> CERTIFIED © RECEIPT <br /> Domestic43 <br /> O <br /> For delivery information,visit Our website at www.usps.com". <br /> m $ Postage: $0.460 <br /> N t Certified Fee: $3.350 <br /> o I Return Receipt Fee: $2.750=-k <br /> C3 [ <br /> O [ <br /> [ Total Postage and Fees: $6,5 ?S <br /> pPw...y,. <br /> .9 $ �OJJ <br /> fLl Total Postage and Fees <br /> .0 Sent To <br /> O Sheet and Apt No.,or Pb oi�IVo <br /> City,State,ZlP+4� <br /> COMPLETE •N I COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. El Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. -A-'s r <br /> 1. Artinip Arlrl o— •- D. Is delive ss differenYf tem 1? Yes <br /> If YES, ter delivery address&w: ❑❑No <br /> O 0 <br /> 4 UG 2 c� <br /> Liberty Mutual Insurance Company <br /> 175 Berkeley Street <br /> Boston,MA 02116 , <br /> II I IIIIII IIII III I II I IIIII( II III II I I I II I IIN III 3. Service Type C Priority Mail Express <br /> Ci Adult Signature/9F� r!• ❑Registered MatIT'" <br /> ❑Adult Signature ReSlri'�p¢I c�ryp ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2053 6132 7804 63 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2• Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signatu e Confirm,,01IT14 <br /> Insured Mail ❑Signature Confirmation <br /> 7016 2140 0000 2346 0608 I Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />