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COMPLETEU.S. Postal Service- <br /> • <br /> ti CERTIFIED MAILP RECEIPT <br /> ■ Complete Items 1,2,and 3.Also complete A. 3ignatur o" '' • <br /> nly <br /> item 4 if Restricted Delivery Is desired. ❑Agent m <br /> ■ Print your name and address on the reverse T ElAddresse Lou ti'j�i Ue o't RM2 E <br /> so that we can return the card to you., p, elved by In ) / C.Date of Deliver <br /> ■ Attach this card to the back of the mailpiece, )u. r/ E3 Fee$3�bn 0806 <br /> or on the front if space permits. >' ! r- $ (13 <br /> --- ----- D, Is delivery address iferent from item 1? ❑Yes em"eck box,adii <br /> S If YES,enter delivery address below: ❑No o ❑Amy (MidoopA $ <br /> o ❑R.Wm Reoelpt(elwirmto) s VIM Poatmerk <br /> �� J p ❑Cwt%d Mall Flm"olwl oenvm $-- ►i,(,ltl Here <br /> U�I ` J� l // I III O ❑AduR Slgnah B Raqul ad 1— — <br /> Q s- 47i( you 4, IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII ,$08"e ro $0 55 <br /> m Pose 112/12/2021 <br /> � 3. olvice Type #7.OQ <br /> � l/ ertilied Mall® [3 Priority Mall Express- N PM ro <br /> (�� ElRogfstored ❑Return Receipt for Merchandise � <br /> ❑Insured Mall ❑Collect on Delivery M <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes s.. -. ....................... <br /> 2. Article Number <br /> (rransfer from service Iabeq 7 017 3380 0000 7 0 7 5 3892 <br /> "' ' <br /> Pc Pnrm 3811-July 2013 Domestic Return Receipt <br /> l <br /> SENDER: <br /> • •N COMPLETE THIS SECTIONON DELIVERY <br /> Postal <br /> ■ Complete items 1,2,and 3.Also complete A. Signature I CERTIFIED , <br /> ILD RECEIPT <br /> item 4 if Restricted Delivery Is desired. ' ❑Agent 1� Domestic • <br /> nly <br /> ■ Print your name and address on the reverse X CJ Addressee <br /> so that we can return the card to you. Date <br /> of DFor dolivery information, <br /> B. Recelvetl by(Printed Name C. Date of Delive � <br /> ■ Attach this card to the back of the mailpieee, j Las Ate i jin s r G Q 31 1` <br /> or on the front if space permits. _�' �/ / � )' / ' ry Ln r <br /> D. Is dellveryaddress different from item 1? ❑Yes C3 Cedaled Moll reo $3 60 0806 <br /> If YES,enter delivery address below: ❑No r- s a 1 25 (13 <br /> 'r 1i/l'�1�, _ ,�z� Illlllllllllllllllllllllllllllilllllllllllllll o s°Mall `Rem"��°° °ry " rer` <br /> 3. Service Type Ea aoatgp #0.55 <br /> 14 Certified Mailx ❑Priority Mall Express mn"o -- 02/12/2(121 <br /> / l 7 ❑Registered ❑Return Receipt for Merchandise $7.00 <br /> ❑Insured Mall ❑Collect on Delivaly <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes C3 ------.....-•- ......... <br /> or ox <br /> a., <br /> 2. Article Number <br /> (rransfer from service 7017 3380 0000 7075 4370 ury_ 3ne a� .................................... <br /> PS Form 3811,July 2013 Domestic Return Receipt PS Form 3800,April <br />