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"U.S. rostaRge__rvice7l'' I I ' ll <br /> CERTIFIED,MAILoRECEIPT <br /> Ln .. <br /> ra <br /> ni <br /> Ln <br /> Certified Mail Fee �7 <br /> C3 J` J- <br /> Er $ <br /> 1-U Extra Services&Fees(check box,add fee as appropriate) <br /> ❑Return Receipt(hardcopy) $ _� .L� <br /> p ❑Return Receipt(electronic) $_Sr Postmark <br /> I: ❑Certi i d Mail Restncted Delivory $ 1ty dy, Here <br /> O []Adult Signature Required $ <br /> C3 ❑Adutt Signature Re tncted Delivery$ <br /> O Postage <br /> r=i $ <br /> r%_ Total Postage and Fees —� n <br /> ru $ `�C <br /> —0 Sent To <br /> rq <br /> Street andApt.No.,or PO Box No. <br /> -------------------------------------------------------------------- <br /> City,Stato,ZIP+4°' <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of the Certified Mail lade, for an electronic return receipt,see a retail <br /> ■A unique identifierfor your mailpiece. associate for assistance.To receive a duplicate <br /> ■Electronic verification of delivery aft pled return receipt for no additional fee,present this <br /> delivery. ���+++,,,,,,,,, USPSe-postmarked Certified Mail receipt to the <br /> ■A record of d&pi (kludin reci s retail associate. <br /> signature)that is retainedy e PON S rvice d delivery service,which provides <br /> for a specfie ,gnQo } I' to the addressee specified try name,or <br /> _ '� add <br /> fmporfa R dei f ressee's authorized agent. <br /> t3tgriature service,which requires the <br /> ■You may p hase Certified MTel,ith meto <br /> eat 21 s of age(not <br /> Frst-Class M First-Class vue®,� t etor Prffed Mad®secs is n gnlhnoery service,which <br /> •Certifed Mail service is nataI _the_si nee to be at least 21 years of age' <br /> Intema'lonal mail, and provides delivery to the addressee specified <br /> •Insura ce coverage Is notavailabie for purchase by name,or to the addressee's authorized agent <br /> with(irtrfied Mail service.However,the purchase (not available at retail). <br /> of Ce ified Mail service does not change the ■To ensure that your Certified Mail receipt is <br /> insur.ice coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certai Priority Mail items. USPS postmark If you would like a postmark on <br /> ■For an idditional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for <br /> the following services: postmarking If you don't need a postmark on this <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion <br /> of delive (including the reciciipierit's signature). r aoff this label,affiixxd�to the mailpiece,apply <br /> electronicversion. o A9 AC ir%RW`►'IaW�,L7�y�,pq <br /> complete PS Form 3811,Domestic Retum L' li(J <br /> Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. <br /> PS form 3800,ApAl 2015(Reverse)PSN 7530-02-000-9047 <br />