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P 436 789 339 <br /> Spift �.. <br /> US Postal Service <br /> Receipt for.Ceifti f Mail'``"&C <br /> No Insurance Coverage Provided.— """ <br /> Do not use for International Mail See reverse <br /> Sent _. <br /> Vi' y-✓fl l/'o/J ShC_ W <br /> Street&Number W <br /> W <br /> Post Office,State,&ZIP Code <br /> a CD <br /> Postage <br /> Sal <br /> Certified Fee o -' <br /> Special Delivery FeeCE <br /> N rA <br /> Restricted Delivery Fee op -t7 Aj <br /> LO <br /> Return Receipt Showing t V� <br /> Whom&Date Delivered <br /> Q Return Receipt Shoving to Whom, CID <br /> Q Date,&Addressee's Address <br /> CD <br /> TOTAL Postage&Fees $ G t <br /> Postmark or Date n <br /> 0 0 <br /> tL <br /> a Q <br /> i <br /> ;; SENDER: <br /> ■Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> ■Complete items 3,4a,and 4b. following services(for an <br /> d ■Print your name and address on the reverse of this form so that we can return this <br /> card to you. extra fee): <br /> ■Attach this forth to the,front of the mailpiece,or on the back if space does not permit. 1. ❑ Addressee's Address <br /> - <br /> d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. a <br /> d 3.Article Addressed to: 4a.Article Number <br /> ,p,�rr- -�ror� S� '/ a g7 5�' <br /> c /Qd 4b.Service Type <br /> N <br /> ❑ Registered UV6ertified °C <br /> w /— e 7 J g 13a ❑ Express Mail ❑ Insured <br /> LL a <br /> p ❑ Return Receipt for Merchandise ❑ COD 7 <br /> a 7.Date of Delivery <br /> z —o r� <br /> 5. Print Receiv d By: Name requested <br /> x. <br /> Y ( ) 8.Addressee's Address(Only if <br /> W and fee is paid) io <br /> g 6.S�i/na : Addressee rAgent)lu ` . <br /> 0 /� I S <br /> krl <br /> PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt <br /> - <br /> I <br />