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<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 the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atldres-ste-d to: <br />,~O-nn\ 5 J J~n•n S?v~ <br />q~`l7 ~s~~ 2J ~0~9 <br />J <br />\,-cM~rtiuv~~ GJ ~uSU1 <br /> <br />A. Recervetl by (Please Print Clearly) e. Date of Delivery <br />C <br />C. Signature _'1 ~.,,~V <br />X ~~J Agent <br />~ ^ Addressee <br />D. 15 delivery atldless/C' a nt fmm item 1? ^ Yes <br />If YES, enter deliCery address below: ^ No <br />3. Service-Type <br />Certified Mail/~ Express Mail <br />isteretl"` Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feef ^ Yes <br />2. Article Number (Copy lrom servtce label/ \ <br />~E~611n 3811, July 1999 Domestic Return Receipt t02595~00-M-0952 <br />11 Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />tl Print your name and address on the reverse <br />so that we can return the card to you. <br />rl Attach this card to the back of the mailpiece <br />or on the Front if space permits. <br />~. Article Addressed to: <br />r <br />• \ <br />C:I~~.~c `'1 M <br />-- ' J., -rte <~{ ..•:k <br />`~ <br />A. ~ceivetl by (Please Pnry Clearly) ~ B. gate of <br />^ Agent <br />X~~u~lr1 <br />^ Atltlressee <br />D. Is delivery adtlress tldTerent fmm item 1? ^ Yes <br />it VES, enter tlelivery atltlress below: ^ No <br />3. Service Type <br />~Cenifietl Mail ^ Express Mad <br />Registeretl ,~leturn Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delrvery7 (Extra Fee) ^ yes <br />:?, Article Number (Copy from service label) <br />_ 70D0 o s Zv Od/ 7 O66,Q 7~2 Z <br />I'S Form 3811, July 1999 Domestic Return Receipt 102595~oo~M~o952 <br />