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• 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 />L{c6o� Pm r-e KJ C- k, <br />lv\ S- a d (D <br />�s <br />A. Sign3tur`e--//-1./ ( //� <br />El Agent <br />�, %�. <br />X �- ❑ Addressee <br />B Received by (Print d Name) elivery <br />- s S <br />D. Is delivery address different fr. 'm item 1? 1:1 ,Y1e,p �r <br />If YES, enter delivery addrerm*low: <br />3. <br />U <br />GL Certlfled 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) 7010 1, 0 6 0 0001 0 9 3 6 9102 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />