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• SENDER: Complete Items 1 end 2 when additional services era deslnd, end complete kerns <br />3 end 4. <br />Put~your eddrese in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this <br />cord from being returned to you. The return retei t fee will rovide ou the name of the arson delivered <br />to end the date of dative .Fore Inona see t s o owing servlcea are evel a e. onsu t Dostmastsr <br />or a en sc c oz ee for eddkionel servicels) reQuested. <br />1. Show to whom delivered, date, end addressee's eddrees. Z. ^ Raetrlcted Delivery <br />(Fero rJnrgrl ~ (Erna tMrgr) <br />3. Article Addressed to: - 4. Article Number <br />2 TI m S~ovt<a: 76 v 5 Y <br />m T <br />f S <br />/(~J I n r <br />~1 V C f~Lhb nA~, ~o I ~O ervice: <br />~ o <br />L~ Registered ^ Insured <br />aOs <br />-l Y 3 No el w N Ct ~ 2 ~.CertBlad ^ COD <br />^ Express Mell ^ Return Racalppt <br /> for Men;hentllae <br />o ,~ //''~~ ~~ <br />6~f~ ,~U NC'~I OrJ ~.~J ~LSC~ Always obteln slgneturo of sEdreuae <br /> ar agent sntl DATE DELIVERED, <br />6. Signature -Address 8. Addressee's Address (ONLY ~f <br />X rcqursrcd acrd Jre pdd) <br />B. sign a -Age <br />x <br />~ ~~ <br />7. D to of ervery •y! / <br />PS Form 3871, Mar. 1988 • U.S.O.P.O. 1gB5-212-585 DOMESTIC RETURN RECEIPT <br />P 767 445 694 <br />N <br />el <br />d <br />c <br />8 <br />r~ <br />E <br />0 <br />LL <br />N <br />a <br />RECEIPT FOR CERTIFIED MAIL <br />~M }~ NO INSURANCE COVEflAGE Pfl0Y10E0 <br />C _ ~ 1 ~(~ NOi FOP INiERNAlIONAL MAIL <br />n~du -oo (See Reverse) <br />Sent to MR ~ I M "2'OL/2R__ <br />Slreel and No } <br />J1 <br />P .Stale sntl ZIP Co <br />b ~ ~ <br />Postage 5 <br />CenNieO Fee ' <br />\I, <br />Speaal Delivery Fee '~ <br />~~ <br />~ <br />Re5lriCleO Delivery Fee <br />Return Reoeipl showing <br />to venom sntl Dale Denveretl <br />Return Receipt snowing to whom, <br />Dale. and AoOress 01 Delivery <br />TOTAL Postage sntl Fees <br />Postmark or Date <br />