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I <br />RECEIPT <br />rtl I (Domestic Mail • No Insurance Coverage . . •. <br />Postage � L ; <br />Ln Certified Fee: $0.44 <br />M <br />Return Receipt Fee: ��' $2.85 <br />° $2.30 <br />o <br />❑ '` Total Postage Fees:: ,Q�� <br />Rb.,.. � <br />❑ (Endorsernentftequlrec, $5.59 <br />ru <br />co <br />RJ Total Postage & Fees <br />p- Sent ro <br />° A' <br />r. - -- <br />'.. <br />° Street, Apt. No.; ---•------------------------ <br />r�- or PO Box No. <br />ltt eU <br />City State, ZIP +4 <br />__.._i... k ---------------- - - - - -- <br />?l Co 5906 S <br />PS Fort, :00 AugUst 2006 See Reverse for InstructionTP <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 />Flo <br />►^'�fkv�� \c,co $A6S <br />- m -z©lo- d�17 <br />'OF4 <br />CJ <br />A. Sig atureW <br />X [iyAgent <br />❑ Addressee <br />B. Received b inted Name) C. D e of D livery <br />o / Z !L <br />D. Is delive address differ from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Seryjce 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 service label) 71109 2820 0003 5700 7424 <br />S Form ;Jbl 1, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />M1�c <br />