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^ Complete kerns 1, 2, and 3. Also complete <br />kem 4'rf ResMcted Delivery is desired. <br />i ^ Pdnt 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 Addressetl to: <br />~~~~~~~ <br />~//0y ~~i-u~/ ~la~ ~D <br />~ ~>~, G'v ~G~I <br />X ~~`"r-/ / ~G/ L%/ ~ Agent <br />„/ / ~n,~/, n Addmcvaa <br />8. Received by (Printed Name) 15,.,4ata 9t Delivery <br />D. Is delivery address diferent from kem 17 ^ Yes <br />H YES, enter delivery address below: ^ No <br />3 ~Ce Type <br />ed Mall ^ Express Mail <br />d Registered ^ Return Receipt for Memhandise <br />^ Insured Mal ^ C.O.D. <br />4. Restrkted Daivery'1 (Extra Fee) ^ Yes <br />2. ArtmleNUmbw --- 7007 149 o000 366 9145 <br />(frarfsler Irom service lad <br />PS Form 3811, February 2004 Domestic Rehm Receipt 10259502•Irti•15C0 <br />^ Complete items 1, 2, and 3. Also complete <br />kem 4 k Restricted Detfvery 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 I} space permits. <br />1. Article tlressed to: <br />.' ~e2 ~' <br />/s/~~y ~,~ 5~ <br />A Signature <br />X ~ ~y ~~G O Agent <br />~/G ^ Addressee <br />B. Received by (Pn'nted Name) C. Date of Delivery <br />D. Is delivery address different fmm hem 17 U Yes <br />H YES, enter delivery address below: ^ No <br />~Gertlfled Mail ^ F~cpress Mall <br />~j Registead ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. ResMCtetl DaiveM (~ Fee) O Yes <br />2. Article Number _ ___------ ~---- <br />(fransfer/romservlcelabeQ~ 7pp7 149 000 3660 9152_ <br />' PS Form 3811, February 21504 Domestic Return Receipt 10259502-M-1540 <br />^ Complete Hems 1, 2, and 3. Also complete <br />Hem 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the cans to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article-A/ddressed to: <br />~~//C C~Sri/I,,,/ <br />A Signature (~I I1~/~7 <br />X / /~ ~ ~ Ui {[~O ~ Agent <br />s. ge~egt~atpy l pnntee Namaq I~„~ c. Date of Denvery <br />Jg.e'4livary address tlkferent m kem 17 ^ Yes <br />H YES, enter delivery adtlre below: ^ No <br />3. ~e Type <br />Mail ^ Exprasv Mal <br />^ Registered ^ Return Receipt tOr Men;handise <br />^ Insured Mal ^ C.O.D. <br />4. Restdcted Delivery? (Extra Fee) ^ Yes <br />2. ArtIcleNumber 7p07 149^ 170a^ 366^ 9169 <br />(Tianslar horn servke__~ <br />