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Z 240 623 567 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Postepe ° § <br />Cerufle0 Fee <br />Spedal Delivery Fee <br />ResirkJed Delivery Fee <br />N <br />~ RrNtm Reca'pt SFpwing to <br />W'Mm 8 Data DeGVamA r <br />a(Rehm Rexyl slnemq b Whom, <br />TOTAL Postage 8 Fees s <br />~ Posonark or\Dale <br />LL ~~' •~ <br />a ~ ~~l~~qR <br />SENDER: <br />v Complete item t ertNOr 21or eddiaonal earvkes. <br />I also wish to receive tl7e <br />e •Complete iteem 3, Ie, Nrd Ib. tOIIOWing 8e1VICe9 (fOr en <br /> •Pdm your rteme end edema on Na reveres of Nie brm eo Net we can rrdum 1He B7(Ita f0B): <br /> <br />j mM b you. <br />•Metlt Nia form to the hard of tM mallpieca, or en Iti beck if •Pem doM nol <br />1. ^ AddfOeSBB'6 AddtBSs <br /> <br />r <br /> <br />n mYl. <br />• Wrile'RrMUm Raraeipt Regtweted'an the mailpiece below em adida number. <br />2. ^ RBatdded DBfiVBry g <br />y <br /> <br />~ eThe Relwn Receip wi0 show to wham dle ertlda was tleliverse ertd Na dale <br />rltliveree. <br />Consult postinester for fee. n <br />o <br /> 3. ArtideyAddressed to: 4a. Amide N bar <br /> tJ` <br />~ ~~ <br /> <br />°' 1/ <br /> <br />d- '~ <br />~~( F <br />` <br />' ~~~ <br />4b. Service Type <br />~ <br />~ <br />/ ~o <br /> -- <br />,-~ <br />(~,, r~,C' ~ <br />L <br />~~ <br />` ^ Registered <br />Certified <br />j <br />~ <br />' m <br /> d <br />r'`r^~"~" <br />~~D~ ~~` ^F~cpress Mall /^ <br />Insured q <br /> <br />` <br />~ ~ ^ Retum Receipt for Merchettd ^ COD ° <br /> E i VE <br />~~° l . Data at Delivery <br /> ~ <br />r <br /> 5. ReceNod By: (Pdnt Name) .Addressee's AddrOSS my if requested <br /> and lee Is paid) <br />g 6. Sig ddressee ar t) ~ ~ 1 <br />r ~ <br />e <br />PS Form 3871, December Casa <br />omestic Retum Receipt <br />