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Postal <br /> CERTIFIED MAIL" RECEIPT <br /> Domestic Only <br /> L .• <br /> �- Certified Mail Fee _ <br /> S $ r l <br /> r1..i Extra Services&Fees(check box,add fee as appr ate �t 4 - <br /> ❑Return Receipt(nardcopy) 6 03400�Ate a <br /> C3 CI Rurn et Receipt(electronic) $ Post a <br /> O ❑Certified Mall Restricted Delivery S 'r V+e� <br /> 0 ❑Adult Signature Required <br /> ❑Adult Signature Restricted Delivery S <br /> p Postage C aso <br /> rr1 $ !/ 7 <br /> � Total Postage and Fees <br /> $ 68L 95h <br /> ED Sent To <br /> tree-tirryeetandApt. e P�� -C�o,-.�------ -------------- <br /> 17�- <br /> ----------P.Q- 3A&.0 ---------------$tat&,Zip;46 <br /> t W <br /> i <br /> COMPLETE SECTIONCOFV7PLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X El Agent <br /> so that we can return the card to you. El Addressee <br /> ■ Attach this card to the back of the mailpiece, B. R eived by(Printed Name) C. Dat f elivery <br /> or on the front if space permits. /� f k <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> II If YES,enter delivery address below: ❑No <br /> M;t`ddi L. P��i Cp n5e1'Vci710� ��s�, <br /> t o g S, ao s S+f-eJ <br /> G 10 (fix 2-6 S <br /> CD FoyS? <br /> li i llli�l llif l l e 11 Priority Mall ExpressO <br /> i e egs111111111illll1111111IIIIIIII ❑duS Signature Restricted Delivery ry ❑Registeredred Mall Restricted <br /> 9590 9402 2231 6193 4779 64 Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery (*Return Receipt for <br /> ❑Collect on Delivery -Merchandise <br /> 2. Article Number(Tansfer from service label) ❑Collect on Delivery Restricted Delivery El Signature Confirmation- <br /> n ..e—,t —11 ❑Signature Confirmation <br /> 7018 1130 0000 2440 4636 II Restricted Delivery Restricted Delivery <br /> _ <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I <br /> L <br /> I <br />