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UZ5 0. <br />$? G <br />- <br />rn <br />m <br />Postage <br />p certified Fee <br />r3 <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Lrl <br />f1J <br />Total Postage & Fees <br />Ben To <br />btA <br />?.;-- <br />Street, :apt= . No_ <br />or PO Box No. <br />City state, ZIP+4 <br />F 2vn <br />I <br />t <br />1. Article Addressed to: <br />?pc'Jct- ?vt?u?j-t? CO:15e?VC?{ rce???sf <br />S?e?vrbat•?- Sir t?,?s ,C o ? °`? 8•? <br />? Insured Mail ? C.O.D. <br />Extra Fee) ? Yes I <br />4. Restricted Delivery? <br />Postal Service= 7204 2510 0006 5157 4333 <br />label) <br />CERTIFIED MAIL,, RECEIPT 102595-02-M-1540 <br />Ln Pro "d 'm (Domestic , 1ary 2004 Domestic Return ',Aeceip7 <br />t Ln M Postage $ fn 08, <br />? <br />p Certified Fee <br />EZI Postmark <br />p Return Receipt e Here - <br />(Endorsement t Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Ln THIS • COMPLETE THIS • • DELIVERY <br />l <br />•?s <br />Total Postage & Fees A. Signature I <br />ind 3. Also complete gent <br />EM s. t To nn (livery is desired. X [3 Addressee l <br />-C ------------------------------------- .ddress on the reverse <br />v <br />i <br />De ry <br />street apt. No.; v -l?? JrCI P the card to you. B. Re d by Name) C. Date of <br />or Po Box No. ..... _ -._ __ -.__._ _ I back of the mailpiece, I <br />- -- -- - - ?- <br />crr} stare, ziP+4 bd S -7 : permits. l <br />(d 9 f D. Is delivery address different m item 1? Q No <br />If YES, enter delivery address below: <br />pV`{{' &UVJ+y oczrd c? l <br />C0Ltt,k+y (? oMvvtt ss(otiers <br />1 <br />r <br />'P a 6oX --7 G 3 5q 8 <br />L '5 C) SO <br />1 <br />A =Lk V 14 [I Agent <br />? Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? 0 1] Yes <br />No <br />If YES, enter delivery address below: <br />i <br />r <br />3. Service Type l <br />Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise I <br />7 Service Type <br />0-2ertified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />I. <br />2. Article Number ?004 2 510 0006 515 7 435? <br />I (transfer from service label). <br />i 102595-02-M-1540 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />2, and 3. Also complete <br />--------------- I Delivery is desired. <br />id address on the reverse <br />?_'-A____. irn the card to you. <br />the back of the mailpiece, <br />r i.v1 )ace permits.