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<br />^ Complete items 1, 2, and 3. AISO Complete A. Received by / <br />P <br />l <br />ea <br />se Pnnt Clearly) B. D <br />ate of Delivery . <br />item 4 if Restricted Delivery is desired. <br />i <br />^ P <br />t <br />d <br />dd <br />th g <br />. <br />~ <br />g <br />3 /"/~/-~/~~~' c <br />y <br />/ -3U.{ <br />r <br />n <br />your name an <br />a <br />ress on <br />e reverse <br />so that we can return the card to you. <br />C. nature <br />AAq <br />^ Attach this card to the back of the mailpiece, ``` <br />X {~ ~ ^ Agent <br />or on the front if space permits. / ^ Addressee <br /> <br /> <br />1. Anicle Atldressed to: s tlelrvery atltlress different hum item 1 ? ^ Yes <br />^ <br /> If YES, enter tlelivery address below: No <br />3o~~d o<c-Cou~~-yCa~.~,ssz HS <br />~o ~~,~.~ <br />0 ~~Q ~ O ~° ~. ~z~ 3. Service Type <br />~ ~Cenilied Mail ^ Express Mail <br /> ^ Registeretl ^ Return Receipt for Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> d. Restnctetl Delivery? /EMra Fee) ^ yes <br />2. Anicle tuber (Copy /rom service label/ <br />000 asa <br />?~~ <br />5~ ~I <br />o orJ~ ly( <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M~0952 <br /> U.S. Posta l Ser vice <br /> CE RTIFI ED MAIL RECEIPT <br /> (DOr nesri c Mai l Only; No Insura nce Covera ge Prov ided) <br /> <br /> <br /> <br /> <br />D"' Postage ~ S <br />~, <br />~ cedlned Foe <br />r <br />ftl Retum Recelpl Fee <br />fU (FSdorsement Requliad) <br />3 ~( ~~ ~~~ <br />I ~`~ ~;.., ~~ttvyunerk <br />O ReaMCted Dellvary Fea r ,~Vt ~~ <br />O (Fntlorsement Required) <br />O Total Poamge 8 Feea ~ 3 ~ I <br />fU ,n <br />vl BCI Bnaf 5 NB O (Qlee~ rlnf Clearly) (TO !p complefeq by mellarJ <br />-- <br />O Sl r Apt. N~j~ or PO Box No. <br />~ ary~nUn`nP. a C 0 2 <br />lJ :rr ttr <br />