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Postal <br /> CERTIFIED MAIL" RECEIPT <br /> p- Domestic Mail Only <br /> For delivery information,visit our web.ile Pt t-vw-usps-corn('. <br /> t`- <br /> N , , <br /> (U Certified Mail Fee <br /> ? $ <br /> Extra Services&Fees(check box,add fee as appmpri <br /> 1-3 ❑Return Receipt(ta copy) $ <br /> 0 ❑Return Receipt(electronic) $ POstmark <br /> I3 ❑Certified Mail Restricted Delivery $ Here <br /> C3 ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ <br /> NPostage <br /> Cr $ <br /> rU Total Postage and Fees <br /> r7-1 Sent To <br /> (�t•f L� .� 4 1 <br /> O ----- <br /> ------------ ----------- - - <br /> Street and Apt. o.,or P ox No. <br /> _P -----� �---� y -------- <br /> City,$fate,ZIP+4 4-PS Form 3800,April <br /> r15 PSN 7630-02-OW9047 See /ReverseT <br /> COMPLETE1 COMPLETE • ON DELIVERY <br /> ■ Complete iteM6 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X - ' f Agent <br /> so that we can return the card to you. �� <<�� l ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed N me) C. Date of Delivery <br /> or on the front if space permits. /LI/ C-<-i /( �,r " /U el' <br /> 1. Article Addressed to: II __rr / D. Is delivery address different from item 1? ❑Yes <br /> V <br /> *' � If YES,enter delivery address below: ❑ No <br /> 0 <br /> I I'I I Ili �l I II I I I'IIIIII III I (IIII III 3. Service Type Cl Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified MailO Delivery <br /> 9590 9402 5439 9189 5024 05 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ElCollect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7019 2970 0000 4427 7797 <br /> J!nsured <br /> $5 0)il Restricted Delivery Restricted Delivery <br /> I PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt i <br />