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CERTIFIED o <br /> RECEIPT <br /> r- Domestic maii oniy <br /> Ln <br /> ru <br /> rt <br /> Postage: $0.460 <br /> a Certified Fee: $3,350 <br /> o lE Return Receipt Fee: $2.750 <br /> �j <br /> r� Re: <br /> c� (End Total Postage and Fees: $6.56 <br /> ru <br /> ,-3 Total Postage&Fees $ <br /> ru - <br /> Sent To --- ----- ----- ------ - <br /> Street d Apt No <br /> or PO Box No ! r <br /> [- r - <br /> Crty State,Z1P+4 , _ .-. <br /> i <br /> PS Form <br /> 3800,July 2014 See Reverse for histructbom <br /> Certified Mail service provide wing benefits: <br /> ■A Certified Mail receipt(this portio _mail��iece;inc applicable postage to <br /> Certified Mad label). way <br /> �► red t service fee;and <br /> ■A unique identifier r ailpie endorse the "Return Receipt <br /> ■Electronic venfica s see a tail associate for <br /> delivery. ssis <br /> t an el ironic return receipt, <br /> ■A record of deli the i ie�t's ee re it soci r assistance.To <br /> signature)that is r t return receipt,present <br /> Service®for a specified peno . tl' arked Certified Mad <br /> —^ o he retail associate,who will <br /> Important Reminders; provide a duplicate return receipt for no <br /> ■You may purchase Certified Mail service with additional fee. <br /> First-Class Mail®,First-Class Package Restricted delivery service,which provides <br /> Service ,or Priority Mail service. delivery to the addressee specified by name, <br /> ■Certified Mail service is notavailable for or to the addressee's authorized agent. <br /> international mail. Include applicable postage to cover the <br /> ■Insurance coverage is notavailable for restricted delivery fee and endorse the <br /> purchase with Certified Mail service.However, mailpiece"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 /> -Retumip� �y e, t r� pr our Cer�fie M I m at a Post <br /> i e <br /> with a t�E6M18PAde �ir�i6A(ri� �On91�fY911tdlrin� iydon't need a <br /> rec pient's ) stmark i ad receipt,detach <br /> hardcopy r= ` & I`>�° - Del��Foe I�I°�"'label,affix it to the <br /> version.For a hardcopy re i to apply appropriate postage,and <br /> complete PS Form 3811, pit mailpiece. <br /> Receipt,'attach PS Form 3811 to your IMPOBTAi7E Save this receipt for your records. <br /> PS Form 3800,July 2014(Reverse)PSN 7530-02.000�9047 <br />