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^ 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 the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />~r~,~..1 ~ d CJei..= ~ ~ci, den <br />~~/0 G`feC~~,c S~. <br />(~~~y,,,,,,. C'fk 45~~3 <br />A. Received by (Please Print Clearly) I B. Dale of Delivery <br />C. Signature <br />X ^ Agent <br />~ Atldressee <br />D. h delivery atldress different hom item 77 ^ Yes <br />If YES, enter tlelivery address below: ^ No <br />3. Service Type <br />nified Mad ^ Express Mail <br />Registere0 ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Number (Copy !rom service label) <br />LS.~_L3-2 _T2L <br />urn Receipt ro259SBa-M~t]e9 <br />Z 159 137 2;1 ~ <br />US postal service --~ <br />Receipt for Certified Mail - <br />No Insurance Coverage provided. <br />Do not use for IntemaGOnagl Mail SelIe reverse <br />Ito / { `. ~\ r.. ~J II <br />S4eet 8 Number r. , <br />P Dlfice, Slate, 8 ZIP Coda <br />~r (~ <br />Postage a <br />Certified Fee <br />Spada) Delivery Fee <br />Resaided Delivery Fee <br />rn <br />~ Retum Recrjpl Showing b <br />€I ~_ - ___ ~~~\ <br />ll ~• <br />N ~~ <br />a ri„ r` <br />. V C.. <br />