Laserfiche WebLink
i1900 202-9,T'q00 02T2 fiTOr' <br /> SENDER: COmPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> iA. Signature <br /> • Complete items 1,2,and 3. 1' _ ,� M Agent <br /> ■ Print your i;&e and address on the reverse <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mail lace, a• Received by(Printed Nam`` �A C. Daate t Delivery <br /> or on the front if space permits. p ra <br /> 1. Article Addressed to: D. is delivery address different from item 1? El Yes <br /> Is <br /> YES,enter delivery address below: VfNo <br /> Witliarn M. Cen�a (v <br /> Avonc3��e,Co �t0a�.. <br /> I�'�I���I��'I111111111111111111111111111111111 3. Service Type ❑Priority Mail RegiseredM I'm <br /> ssO <br /> Adult Signature !7 Registered Mai1rM <br /> ❑Adult Signature Restricted Delivery ❑Reeggistered Mail Restricted <br /> ❑Certified Mall® Delivary <br /> 9590 9402 4134 8092 8228 30 0 Certified Mail Restricted Delivery ❑Retum Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfinnationTM <br /> Cl Insured Mall ❑Signature Confirmation <br /> J'\ (. 1 '�^ Q Inured Meil Restricted Delivery Restricted Delivery <br /> (1 V� Qr�(,r over$500 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />