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SENDER: COMPLETE THIS SECTION <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 />0,6\mt <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />Domestic Return Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X Agent <br />dressee <br />D. Is delivery address different from item 1? ❑ <br />If YES, enter delivery address below: <br />3. Sjirvice Type <br />ertified Mail <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7010 1060 0002 1067 4171 <br />C.. to of Deliver <br />No <br />s <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />