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COMPLETE • <br /> ■ Complete items 1,2,and 3. A Signature IJ <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. El Addressee 0 <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery Q- ' <br /> or on the front if space permits. <br /> 1. Article Address to: D. Is delivery address different from item 17 ❑Yes n <br /> �J If YES,enter delivery address below: ❑No �• o 00 <br /> (V\' o r - <br /> (3 oo r <br /> o N > C <br /> i I I I II II( II I II II I I III I II(III I I Service Type ❑Priority Mail Express® <br /> El — <br /> ❑Adult Signature ❑Registered MailTM U) —4 <br /> ❑ dult Signature Restricted Delivery El Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4715 8344 2082 13 ❑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 <br /> ❑Insured Mail El Signature Confirmation <br /> 7 019 1640 0001 9352 8899 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Er <br /> E _ <br /> .,� <br /> _-- <br /> a <br /> i 3 -- <br /> IW <br /> to <br /> "u <br /> (33 ..� <br /> w zZ <br /> C� ) 4 N I <br /> _ - — ,� ',■ <br /> °k <br /> w 1 <br /> o <br /> o <br /> o <br /> 31 DlnmG�-nC <br /> cQi� CN�zr� <br /> O CZ1 <br /> UG m <br /> 7 D <br /> - v <br /> n <br /> 0 <br />