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G1 1 744-- a0 r- 000 <br />e5 -At c� <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery Information visit our website at www.usps.coms <br />_Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />(E Total Postage & Fees: <br />Restricted Delivery ree <br />(Endorsement Required) <br />Total Postage & Fees <br />$0.45 <br />$2.35 <br />rrk <br />$5.75 <br />Travelers Casualty and Surety Company of America <br />One Tower Square <br />Hartford, CT 06183 <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <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 />Travelers Casualty and Surety Company <br />One Tower Square <br />Hartford, CT 06183 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />A. Signature <br />Domestic Return Receipt <br />44/12 ❑ Agent <br />❑ Addressee <br />i Et - Received by (Printed-Name) • : C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery addresA peows P(P° <br />of America <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mall <br />4. Restricted Delivery? (Extra Fee) <br />7011 3500 0002 9607 8586 <br />❑ Express Mall <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />