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<br />^ Complete items 1, 2, and 3. Also complete <br />item 4 it Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1, Addle Atldressed to: <br />Jo(tiK P ~:.wti ~ ,~ <br />11JZ ;L! 4 ~'' S1. ~~ ZSS <br />Cor,~e.ll IL (nl3l~ <br />2. -- <br />PS <br />i <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to tha back of the mailpiece, <br />or on the front if space permits. <br />1. Ankle Atltlressetl to: <br />Ulr,l~ C rend <br />~Z3 ~~es~e~ n/uJ <br />~:J I/.S~L ~I n.~L~G ~~~ ~7/aZ <br />A. Receivetl by (Please Prnt Clearly) ~ E <br />C. <br />X <br />1s delivery atldress ddferent fmm item - <br />If YES, enter delivery address below: <br />3. Service Type <br />~Certifietl Mail ^ Express Mail <br />^ Registeretl ^ Return Receip~ <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />ASR~~ e~ived by (Please <br />G. Signature , <br />- - <br />Z 159 137 286 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />V <br />Do not use for mtemeoorra mai ~w rv.vrac <br />to ~ <br />.a <br />d Number C' <br />ZU Z /f '-I µ `~ 1 <br />P Olfice, Stale, 6 IP Coda <br />LI I <br /> <br />Poslege a <br />Certified Fee <br />Spatial Delivery Fee <br />Resided Delivery Fee <br />Retum Receipt Showop to <br />When Q Dale DeEreraA <br />ReOaa Reca4t $roeipblMOe, <br />t- <br />DM,B MdrtuseeYfiEM1ese <br />TOTAL Postage d Feel ~' ` <br />, <br /> ~ <br />z <br />n <br />rn <br />-r <br />.59 r137 276 e ~ <br />B. Date of Delivery Service V <br />~t for Certified Mail <br />'7 nce Coverage Provided. <br />v ^ Agent a for Intema6onal Mail /See reverse) <br />address dMerent hom ttem 1? ~ Yes <br />ler delivery address below: ^ No <br />~9~ <br />s <br />~~ <br />EyPe se <br />'-~`Certilied Mail ^ Express Mail liuary Fee <br />O Registered O Retum Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. Dafivary Fee <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />xJpr Shame to <br />2. Article Number (Copy Irom service label) <br />~~ lsy • /3~- yi <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-I]B9 <br />i_ . <br />i ~ I R0NIe1~ Dara ~r I ~ I <br />O t J ' `t ` <br />LL 1~'., o <br />a \ ;p ,~~ . <br />oo <br />