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SENDER: . . �- <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee v <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. ✓, <br /> 1. Article Addressed to: D. Is delivery address different from item 11 ❑Yes <br /> If YES,enter delivery address below: ❑No e•• ^ <br /> 3.I Service Type ❑Priority Mail Express@ Z I'III'I IIII I'I I III I I I'IIIIII�I II II (I I III�II ❑Adult Signature ❑Registered Mail- <br /> 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9402 5402 9189 1658 73 :� ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM r <br /> ❑Insured Mail ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) v J <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I <br /> C3 <br /> S- c C3 <br /> C3 <br /> v C3 <br /> �1 <br /> C3 �— <br /> m <br /> ir <br /> te-a <br /> -- - <br /> a - <br /> 03 <br /> V\, <br /> .......... <br /> r-' <br /> o �h <br /> w � <br /> m <br /> C. <br /> ro <br /> 41 �� <br /> N DT G)'VC <br /> _ ........................ - <br /> r_L 2 ZOO <br /> Nm N <br /> ro� O Z<D <br /> t�0■ n G7 <br /> N O m <br /> CD <br /> t% D <br />