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<br />o Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted 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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />5kep,\aw,e. GL A& Vaj S-,V-P-5 <br />Urr.Zo S4Ov10-t LLL- , <br />?rli6?? t\1 CO 'O.1060 Agent <br />lLlzS Coum\( ?6,(; Q <br /> <br />R cety by -,Ifn Name) Date of Delivery <br />???-,e--, i 10-17( <br />D. Is deli ery address different from item 1? ? Yes <br />If YES, enter delivery address below: 0 <br />3. Servi a Type <br />(p cerwW Mail E3 Express Mail <br />O Registered O Return Receipt for Merchandise <br />0 Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7007 3020 0001 6340 2410 <br />(rranster from semice label) <br />PS Form 3811, February 2004 Domestic Return Receipt t 9 a'11 <br /> Postal <br /> CERTIFIED MAILT.RECEIPT <br />C3 <br />(Domestic Mail Only; No Insurance Coverage Pr <br />ovided) <br /> <br /> <br /> <br /> <br />M <br />..n <br /> <br />c Postage: L <br /> <br />$0 <br />61 <br />r-q C3 Retum Certified Fee: . <br />$2.80 <br />C3 <br />C3 (Endorseme Return Receipt Fee: <br />?.3Q <br />C3 Restricted <br />(Endorseme Total Postage & Fees: l <br />$5.71 <br />O <br />M Total Postayo . . <br />r- <br /> <br />o Sent To <br />?Ee vw v.. e G t7,a? ?' ?U-eS _(1kt uA_ <br /> <br />` <br />!? <br />9n?4 ..--- <br />E:3 <br /> <br />E` b <br />tree ,Apt No.; , -.K5 <br />or PO Box (?( Z? <br />..AL---------- <br />-No.-- ---.li voa -..toy <br />--------------- <br /> <br /> <br />------------------ <br /> Clty, State, ZIP+4 <br /> <br />See Revers <br />PS Form :3800. Augu?l 1006 <br /> <br />e for Instructiom-4