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rU (Domestic Mail Only; No Insurance Coverage Provided) <br />.? <br />For delivery information visit our website at www.usps.com,, <br />D 0 <br />Postage $ $5.00 0127. <br />Certified Fee $2.80 48 <br />O? <br />O Return Receipt Fee ere <br />O (Endorsement Required) $2.30 <br />Restricted DelNeryFee J? <br />E3 (Endorsement Required) $0.00 <br />C3 Total Postage & Fees $ $10.10 12/17/2010 <br />rR <br />Sent To <br />c3 Street, t. No.; <br />t` or PO Box No. jai _5 ?4,?f?'??i?5 <br />... ... .. ......... <br />.°-. <br />City, State, ZiP+4 <br />¦ 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 />-DN `` <br />VA cNtt'l 64(S A I f-- E?j <br />1-gt3 S?Md.&3 5,(-- <br />SO 2ts <br />A. Si ture <br />X ? Agent <br />? Addressee <br />B. Receive y (Printed Name C. Date of Delivery <br />D. Is delivery dress different fro item 1? ? Yes <br />If YES, enter delivery address /below: ? No <br />3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number -- - - --- <br />(Transfer from serviced 7010 1060 0000 8447 6642 <br />PS Form 3811, February 2004 Domestic Return Receipt 102596-02-101-1M