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U.S. Postal Service ttl <br />CERTIFIED MAIL,„ RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit c• 9 <br />Sent To <br />orr Apt. No.; ?.�� ' ,1 -t) <br />or PO Box No. <br />City State. ZIP +4 <br />PS Form 3800.Augte,t 2006 <br />See, Reverse to <br />Instre <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />Addressee <br />Postage: c1 <br />Certified Fee: <br />Return Receipt <br />F <br />(EncTotal Postage 8e <br />Res _ ., ,ve(y ee <br />(Endorsement Required) <br />Total Postage & Fees <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 />A:v-L Sir <br />/ .l C 560420 <br />2. Article Number <br />$0.45 <br />2.95 <br />2.35 <br />$5.75 <br />.,v,a <br />3. Se a Type <br />Certlfied Mail <br />0 Registered <br />0 Insured Mali <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />/ 1 1 <br />B. Received by (Printed N . C. Date of Delivery <br />l�- t3- t D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: *R <br />0 Express Mail <br />0 Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery'? (Extra Fee) 0 Yes <br />7010 1060 0001 0936 6576 <br />102595 -02 -M -1540 <br />