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^ Complete Items 9, 2, and 3. Also complete <br />Rem 4 if ResMcted Delivery Is desired. - .,., '~~ <br />^ Pdnt your name and address on the reverse <br />so that we can reXtun fha card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front ff space pennfts. <br />! ~~ /- <br />~~~ ~s~ <br />`~1a,~~~-~ ~~l <br />A Signature <br />X <br />S. Received by (Rtnted Nerve) <br />D. Is delNery address tlirtemrrt from ttem 17 U Ye; <br />If YES, emer delivery address below: ^ No <br />3. Service Type <br />~°Cettlfled Mall ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restrktetl Delivery! (Extra Fee) ^ Yes <br />2. Article Numher <br />- (frans/errromservlceteDe4 7006 0100 ^000 2754 0260 <br />PS Form 3811, February 2004 Domesdc Retum Receipt tousso2-M-tsao <br />S <br />Dl <br />M1 <br />ru <br />O <br />O <br />0 <br />D <br />D <br />O <br />a <br />0 <br />..O <br />O <br />0 <br />M1 <br />Postage ~ S <br />CerUNed Fee <br />Relum Receipt Fee <br />(Endorsement Regmrea) <br />Reiitdcted llellvary Fee <br />(Endarsemem Required) <br />Total Postage a Fees ,~ <br />ui <br />m <br />IL <br />~~ <br />iMlIT ID: _ ItM1y <br />Postage ~ s 0.34 <br />?.q0 r Y ` ~ ~~ p Cedifled Fee Z q,u,~ E <br />V D Po8Mefk /;~ ppyymerk <br />D~ CI ~ e[e ~' RaNm Receipt Fee C//y~ <br />~ (Endorsemem Required) ~ ~ ,~ <br />Clerk: FT o ResmctedoelroeryFee Clerk:: KGMO~n <br />O (Entlorsement Required) ~ C1 <br />r-l <br />tl'~ ~1OB~0 ~ Total Poste & Fees $ 4.64 ~SrOG <br />.O <br />p anti , <br />~J_ ~j .__......__. <br />~ 4v C~ Stie6{ApL NO.;----~--- <br />...____r_/.._.l ............................... or POg~BgO~x7No.~~~~_~_.~_7l-..__.___~/c~L <br />^ Complete Rams 7, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />so'that we can Tatum the card to you. <br />^ Attach this card to the back of the mailpieca, <br />or on the front if space permits. <br />1. Article Addressed to: <br />~~~ ~y ~>3 ~~~~ <br />/~1ort.~~~~((, C~ <br />~~7d~ <br />A Signature <br />"e,~}. ".ran V ""~"it~ ^ Adere~. <br />8. Receved oy (.Printed Name) Tc,,~ete of Dell <br />D. Ia delivery address dgferent ttem 17 L7 Yes <br />RYES, errter delivery atldress low: ^ No <br />3. Servce Type <br />Cerllfled Mail ^ Express Mail <br />Registere0 ^ Retum Receipt for Merchandise <br />^ Insured Mell ^ C.O.D. <br />4. Restricted Delivery? (E#ra Fee) ^ Yes <br />a ~N`~r 7006 0100 0000 2754 0253 <br />(ilansler rrt>rrr service leDeQ . <br />PS Form 3811, February 2004 Domestic Return Receipt tozsssoz-Masao <br />