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Complete Items 1, 2, and 3. Also complete <br />item d if Restrictetl belivery 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 mailplece <br />or on the front if space permits. <br />ArtlclewAtld_re_s5~ed to: <br />~ 1"t.0 r R ~ ~d <br />p•d • Pox 33 <br />nsurad Mail C.O.D. <br />4. Restdcted Dallvery7 (Extra Feel ^ yes <br />A. Received Dy (Pl.e.a/se Print Clearry) B. Date o1 Dellvery <br />Jf 7( -~ 3 ~a~ .ac <br />C. Si re <br />X ^ Agent <br />/.L^i61 /~.!/J~i O Atldressee~ <br />D. is y address diaerent kom item 19 ^ Yes <br />If YES, enter delivery address below: ^ No <br />I <br />i <br />i <br />I <br />3. Servlce Type <br />^ Cenilietl Mail ^ Express Mail <br />^ Reglsteretl ^ Return Receipt for Merchandise) <br />^ I ^ <br />^ Complete items 1, 2. end 3. Rlso complete <br />item 4 it Restdcted 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 mailplece, <br />or on the front If space permits. <br />1. Miele Addressed to: <br />A. Receved by (Please Pant Cleerty) B. Dale of DeIWc <br />31~~ - <br />C. Signatyre / ~ s~ <br />/ ^ Aga; <br />X • ~ x',~ ~l ^ Address <br />D. 1; delNery etldrav tliMerent from Hem 19 ^ Yes <br />'11 YES, enter delivery adtlress Delow: ^ Nc <br />3. Servlce Type <br />~Certifed Mail ^ Express Mail <br />^ Reglslered Return Recelpt for <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />Miele Number (Copy lrom service label) 2. Article Number (Copy Irom Servlce label) <br />_ ~-zco--e8n-4qz ~~ I ~.-2tol-too-499 -a <br />Form 3811, July 1999 Domestic Rehm Recelpt toz595~99-M~t]e9 i PS Form 3811, JDIy 1999 Domestic Retum Receipt tb259S99~M~t]; <br />_._.. ' <br />t -- <br />. 4.` _ .......... <br />Z 261 680 492 <br />u) <br />O) <br />m <br />C <br />m <br />IL <br />y <br />a <br />US Postal Service ' <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Intemational Mail /See reverse) <br />MO"t ~.. <br />Stre mbar <br />• ~O <br />Post Elio, S e, 8 ZIP Cade / _ <br />W <br />Postage S 33 <br />CerGGed Fee ~d <br />Spedal Delivery Fee <br />Restdcted Delivery Fee <br />Retum Receiq Stowing to <br />Whom 8 Dab Delivered <br />~'~/ <br />Realm Recap 9wYp b Hholn, <br />Date. B Ad~nseeY Adam <br />TDTAL Postage b Fees ,S ,'~ S <br />P <br />_~ <br />f <br />Z 261 680 489 <br />US Postal Servlce ~ ~~ <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Intemational Mail /Sea revareal <br />N <br />A <br />rn <br />g <br />C <br />O <br />M <br />li <br />to <br />a <br /> <br />Street 8 m r <br />rl <br />P Olfia, ute. 8 Z Code <br />Postage S <br />Cergfied Fee /~/~ <br />Spedal Delivery Fee <br />Restdcted Degvery Fee <br />Retum Receipt Strow"utp W <br />Netorn 8 Date Delivered /. ~ C <br />J <br />Relun RettPr Slowrq b Whaq <br />Da1f, 6ldtreseel Addev <br />TOTAL Postage 8 Feea ,S a <br />Postmuk or Dale <br />SHIPPED <br />MWR812000 <br />• <br />