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TIFIED MAIL° RECEIPT <br />tic Mail Only <br />ery information, visit our website at wwwusps.com®. <br />Pna+ana <br />Postage: <br />Certified Fee: <br />Return Receipt Fe <br />MAR2>4 2016 • $2.80 <br />Total Postage & Fe7lfSQ $6.735 <br />I <br />1f. NO., <br />No. <br />ZIP+4 <br />800, July 2014 <br />Co �I <br />See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />a 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. <br />Article Addressed to: <br />•-SocIi \ cl 111 \P <br />Cc5". CAAA C Z1 a'V7 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />B. Received by (Printed Name) <br />Ot <br />© Agent <br />Et ' : dress <br />C. Date of elive <br />J.1 j .1 <br />• <br />D. " •cittivAt7 s different from es <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />.111 - <br />Certified Mall° 0 Priority Mail Express' <br />❑ Registered 0 Return Receipt for Merchandi: <br />❑ Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service labeQ <br />7014 2120 0001 7869 6653 <br />PS Form 3811, July 2013 <br />Certified Mail service provides the following benefits: <br />• A Certified Mail receipt (this portion of the mailpiece; include applicable postage to <br />Certified Mail label). <br />• A unique identifier for your mailpiece <br />• Electronic verification of delivery + att <br />delivery. <br />cover the return receipt service fee; and <br />endorse the mailpiece "Return Receipt <br />Requested," or see a retail associate for <br />Dec. For an electronic return receipt, <br />• A record of delivery (ihclloding ,� +r assistance To <br />signature) that is retained b the P t I receive a duplicate return receipt, present t® <br />Service® for a spe ri p d. �q��_0a'A aS tpostmarked Certified Mail <br />r t to the retail associate who will <br />Important Reminders: provide a duplicate return receipt for no <br />• You may purchase Certified Mail service with additional fee. <br />First -Class Mad®, First -Class Package - Restricted delivery service, which provides <br />Service®, or Priority Mail® service. delivery to the addressee specified by name, <br />• Certified Mail service is notavailable for or to the addressee's authorized agent. <br />international mail. Include applicable postage to cover the <br />• Insurance coverage is notavailable for restricted delivery fee and endorse the <br />purchase with Certified Mail service However, mailpiece "Restricted Delivery," or see a <br />the purchase of Certified Mail service does not retail associate for assistance. <br />change the insurance coverage automatically • To ensure that your Certified Mail receipt is <br />included with certain Priority Mail items accepted as legal proof of mailing, it should <br />• For an additional fee, you may request the bear a USPS postmark. If you would like a <br />following services: postmark on this Certified Mail receipt, please <br />- Return receipt service, which provides you present your Certified Mail item at a Post <br />with a record of delivery (including the Office`" for postmarking. If you don't need a <br />recipient's signature). You can request a postmark on this Certified Mail receipt, detach <br />hardcopyreturn receipt or an electrons the barcoded portion of this label, affix it to the <br />filr ft enr laaapSitteriferan St.S postage, and <br />complete PS Form 3811 Da eebc Return S al <br />Detroveli,heooduzus your IMPORTANT: Save this receipt for your records. <br />PS Form 3800, July 2014 (Reverse) PSN 7530.02-000-9047 <br />Domestic Return Receipt <br />CD C.9 <br />C1 <br />C � <br />CD to <br />CS' <br />n cD <br />o <br />ZV Co, <br />Ca <br />CD <br />CD <br />rt. <br />00 <br />IG <br />co <br />• <br />CD <br />1Z <br />(D <br />(D <br />cn <br />CD <br />O <br />C <br />N <br />Q <br />cn <br />N <br />o.9• <br />N <br />X <br />• <br />"r't <br />31His a31INf- <br />C.O m <br />(D rO _. <br />-'0)2 C) <br />Z and <br />O Qoy <br />• N <br />O rn — <br />-o <br />