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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ print your name and address on the reverse X U 0 Agent <br /> so that we can return the card to you. JQ/ ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. ecei by(Printed`Name, C. Date of Delivery <br /> or on the front if space permits. _ -/U <br /> / Is delivery add 1 `Y s <br /> E V e n Le bT��e�roy69 If YES,enter deliv <br /> I <br /> y F FEB 2 0 2 <br /> 18 S. 14th Street 019 <br /> Sh4poygan, WI 53081 REC AWTION <br /> I III I I I II II I I I ( I II III II I 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1194 93 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 ,,.:_ -., -^— •--r)elivery Restricted Delivery ❑Signature Confirmation"' <br /> 7 017 2400 0000 9119 4472 ❑Signature Confirmation <br /> Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />