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CERTIFIED MAILD RECEIPT <br /> rC3 Domestic Mail Only <br /> U , .........Sr— <br /> nj r.Tjr.MKT7I7rAIiI <br /> Lr) <br /> cE3 <br /> 1:0 Postage $ <br /> Certified Fee <br /> 1:3 Return Receipt Fee Her <br /> C3 (Endorsement Required) <br /> C3 <br /> Restricted Delivery Fee Cil <br /> C3 (Endorsement Required) <br /> nj <br /> r-q Total Postage&Fees $ <br /> ru <br /> Sent To <br /> jR\IIKE -ILD <br /> C3 \Tomlk,PERFE('TION I>C <br /> r\- or PO Box Na P 0 BOX 341 <br /> ------City;State,ZlP+4 L.�,KE GEORGE-Coiw8l_7 <br /> PS Form 3800,July 2014 See Reverse for Instructionsi, <br /> Certified Mail service provides the following benefits- <br /> m A Certified Mail recelpetortion of the mailpiece;include applicable postage to <br /> Certified Mail label). %1wr the return receipt service fee,and <br /> IN A unique identifier foRk-ailpiece endor§e the maillpiece"Return Receipt <br /> •Electronic verification of del MY 01­Unlpy� est d" a retail associate for <br /> delivery Fa assistance.Foo'rseneelectronic return receipt, <br /> •A record of delivery(including the recipe t's see2.retail <br /> associatefor assistance To <br /> signature)that is retained by the Postal rece� a p'Ca e return receipt,present <br /> Service'for a specified period. % t a Certified Mail <br /> Important Reminders.- this <br /> 1,Ao�t�poretma,I associate, <br /> i ate,who well <br /> r r re <br /> ceipt e <br /> e e <br /> e <br /> e,v <br /> r I <br /> dttl duplicate return receipt for no <br /> r u ro <br /> •You may purchase Certified Mail servic with addition fee!' <br /> 0 1 <br /> First-Class Made,First-Class Package es , service,which provides <br /> R tr delivery_RC'tr <br /> Service",or Priority Mad®service. delver to <br /> tE'the addressee specified by name, <br /> •Certified Mail service is not available for <br /> r "r to th�.addressee's authorized agent <br /> ,rict,u d <br /> international mail. C In c I ud applicable postage to cover the <br /> ,,,b, f OL <br /> •Insurance coverage is notava;a e or r\ rests ed delivery fee and endorse the <br /> purchase <br /> 1 _ i <br /> ur hase with Certified Mail service Howe r,%--mail ece"Restricted Delivery,"or see a <br /> the purchase of Certified Mail service does t reta associate for assistance <br /> change the insurance coverage automatically E To e ure that your Certified Mail receipt is <br /> cl <br /> in uded with certain Priority Mail items pted 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 /> h a 6e d in n �he, r t off[ <br /> I clu tio an WU 4" n <br /> n electronic <br /> t;el�C 501 r Ct h S W <br /> 0 estl rn �d I P <br /> or of I <br /> [�ry- <br /> w1! <br /> t <br /> y <br /> ar c r r e <br /> op e toaayyf��tt����abel,affix it to the <br /> version <br /> [on <br /> coin <br /> p I ete orm <br /> Recelpt attach PS For gyp[r <br /> PS Form 38 0,July 201 4(Reverse) <br /> Ps N 530_02�O 904 <br />