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1. Article Addressed to <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />U.$; Postal Service <br />CERTIFIED MAIL, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />m <br />0 <br />.N <br />ra <br />Lt ) <br />For delivery information visit our website at www.usps.como <br />$0.44 <br />$2.85 <br />$2.30 <br />$0.00 <br />$5.59 <br />Postage <br />Certified Fee <br />rR <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />E3 (Endorsement Required) <br />0 <br />m <br />O <br />L7 <br />N <br />Total Postage & Fees <br />i ■ Complete items 1; 2, and 3. Also complete <br />i item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />' so that we can return the cans to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />THERESA JONES <br />107 WEST CHEYENNE RD <br />COLO SPGS CO 80906 <br />PS Form 3800, Auqus <br />ee - everse forinstruetions <br />SENDER: COMPLETE THIS SECTION <br />I F1tREJ;yJONES <br />107 WEST CHEYENNE RD <br />COLO SPGS CO 80906 <br />A. Signature <br />X <br />Domestic Return Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />B Received by (P ted Name) <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ;l� No <br />3. Service Type <br />Certified Mall <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />7010 3090 0001 8851 2203 <br />❑ Agent <br />►Addressee <br />e of Deliy ry <br />❑ Express Mall <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />102595 - 024.1540 <br />