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ru <br />Lf') <br />ru <br />D <br />ru <br />D <br />D <br />rR <br />D <br />r-4 <br />r-1 <br />e-1 <br />N <br />ru <br />D <br />rR <br />N <br />rl <br />U.S. Postal Servicem <br />CERTIFIED MAIL... RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com <br />f <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />$0.44 <br />$2.85 <br />$2.30 <br />$0.00 <br />$5.59 <br />1,1 LE <br />08 <br />/ <br />10/06/2011 <br />Sent To <br />Gay, State. ZIP+4 <br />12 A / - 6.7 1 x <br />Street, Apt. No.; <br />or PO Box No. <br />c OS; ( <br />PS Form 3800, August 2006 See Reverse tor Instructions <br />U.S. Postal Service <br />CERTIFIED MAIL:, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.carnr; <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Tot& Postage & Fees <br />$0.44 <br />$2.85 , <br />$2.30 < <br />$0.00 <br />$ $5.59 <br />Sent To <br />Street, Apt. No.; <br />or PO Box No, <br />City, State, ZIP+4 <br />A/4 / <br />Ayt <br />7 ( s <br />0197 <br />r <br />08 64 ,- <br />'Pastmars <br />" <br />10/06/2011 <br />I <br />PS Form 3800. August 2006 <br />See Reverse for Instructions <br />7 <br />SENDER: COMPLETE THIS SECT/ON <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 retum 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/ <br />A Air ) 7 ,f'4 rf24-;,,ft-3 <br />04,7 c 2h Ave <br />Co co eos <br />2. Article Number <br />(Transfer from service !aim <br />PS Form 3811, February 2004 <br />7011 0110 0002 1025 7271 <br />A. Signatu <br />X <br />Domestic Retum Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by ( Printed Name) <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />0 Certified Mail <br />El Registered <br />0 Insured Mall <br />4. Restricted Delivery? (Extra Fee) 0 yes <br />0 Express Mail <br />o Retum Receipt for Merchandise <br />la C.O.D. <br />ei A <br />0 Addressee <br />C. Date of Delivery <br />102595.02-M-1540 <br />