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M2-012--N ) <br />,omplete 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 />I Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />I. Article Addressed to: <br />-SOWN 1- DWI 5 <br />ULV <br />'aj q 5I <br />Clenoq )CO ZOV9 <br />Fi ec� <br />A. Signa i: l X <br />rd ❑ ❑ Agent <br />Addressee <br />B. R y <br />(P " ed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service 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 />a. (71ansr rfrom 7011 3500 0002 9607 6384 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 702595 -02 -M -1540 <br />E <br />ra sent To .—j <br />tm Street, Apt No.; <br />r- or PO Box No.� <br />C ------------ - - -- --- v - � -- <br />Ciry, State, ZIP +4 e�aq) CD FOg' <br />PS Form :00 August 2006 See Reverse for Instructiorn <br />(Domestic <br />M <br />$0.48 <br />1TIM <br />3 <br />$3.30 <br />- <br />Postage' <br />Certified Fee: <br />Fee' <br />$270 <br />tnj <br />Receipt <br />$g.48 <br />C3 <br />RetiF`etllrn <br />(Endorsen & Fees: <br />Restr"t' otal postage <br />More <br />M <br />Q <br />(Endorsee t <br />Ln <br />M <br />Total Postage & Fees <br />$ <br />ra sent To .—j <br />tm Street, Apt No.; <br />r- or PO Box No.� <br />C ------------ - - -- --- v - � -- <br />Ciry, State, ZIP +4 e�aq) CD FOg' <br />PS Form :00 August 2006 See Reverse for Instructiorn <br />