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r <br /> <br /> <br />S <br />u'1 <br />~ Postage $ <br /> <br />'~ <br />p CerNietl Fee <br />p Return ReGe~pt Fee <br />(Endorsement Regmretl) <br />p <br />p Reslnctetl pehvery Fee <br />p IEntlorsamenl RegmnWl <br />p <br />M1 Total Poctapa b Fxs g <br />~ ac~iplant~Y/1Name <br />((P/~as@ P <br /> ., <br />p (S~/FL Fpt. No , or Boi l <br />Y <br />: <br />~ <br />~~ <br />p . <br />.~ <br />... <br />.:.. <br />LM: $f1ta. ZIPr4 <br />r 2 <br /> <br />Postmark <br />Here <br />N <br />4' <br />~ ~D'~Sl~ <br />~ Complete items 1,~2, and 3. Also Complete A. eceiv M (PI a Pdnt C/eady) B. Date of Delivery <br />item 4 if Restricted Delivery is desired. <br />• Pd <br />iY'ad <br />h ~~ ~ ~ ~ tp rr <br />nt your name an <br />dress on t <br />e reverse <br /> <br />5q{hat we-can return the card to you. <br />~gltacif~P~ls card to the back of the mailpiece C. Signature <br /> <br />X <br />,t/~ ~ ,g9ent <br />, <br />or on the fronttf space permits. Jl ~~ ^ Addressee <br /> <br /> <br />Artk:le Addr <br />1 <br />s <br />e <br />d to D. Is tlelivery adtlress UiRerant Lom item 77 ^ Yes <br />. <br />~ <br />Q <br />~ <br />m ~ <br />71jr <br />~~ If VES, atltlress below: ^ No <br />?4~ <br />~ <br />_d <br />_ <br />~ <br />~ T <br />AUS o <br />~ <br />p~ <br />,~ <br />4. <br />P~ ~ ~ 2~ a <br />/ <br />J <br />~Q <br />~y <br />1/ . O /c~ ~ / ~ `1 3. ice <br />/ <br />CO ~ ~ ~ <br />~ Registers xpress Mail <br />^ Return Receipt for Merchentlise <br />. <br />rid [f'!O <br />77"" ^ Insured Mail ^ C.O.D. <br />55 4. ResMCtsd Delivery? (Extra Feel ^ Ye5 <br />2. Anicle Number (Copy lrom service label) <br />zaoo /G ~~ OODI> O 6d~ Ss~~ <br />r9 Form 3811, euly teas txmestic Return Receipt 192595-oo•w.s9s@ <br />