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� r <br /> � . <br /> � � • <br /> � • � . <br /> ■ Complete items 1,2,a��d 3.Also complete A. Signa e � �� <br /> / ❑Agent <br /> item 4 if Restricted Delivery is desired. ❑Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Rec ed y(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> � q- ����`�� <br /> � <br /> �i l� �� � ,�J 3. Se ice Type <br /> iJ`+ <br /> ified Maii �Express Mail <br /> � _ �/� �� ``�`��;�f „ Registered ❑Retum Receipt for Merchandise <br /> 1��vn� �I�x � !,,v�� ❑Insured Mail ❑C.O.D. <br /> V 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. ArticleNumber 7pp7 p22� 0000 1989 8715 <br /> (Transfer from service/a6e1) <br /> PS Form 3811,February 2004 Domestic Return Recefpt <br /> 102595-02-M-1540 <br /> � <br /> • • � <br /> . � . . <br /> � �. • . <br /> f� <br /> � <br /> �' � � 2� �� a� �" � .�,� <br /> � <br /> Q' Postage $ � � <br /> � ts � � <br /> Certified Fee ��7�� � � 7 <br /> O V `' <br /> � �ostmark � <br /> Retum Receipi Fee �.� � Here }� <br /> O •(Endorsement Required) � <br /> O Z:. <br /> Restdcted Delivery Fee �` <br /> � (Endorsement Required) �. <br /> OTotal Postage&Fees � _5�_7� __ '���4? <br /> �-- �----.___ .....------�-- <br /> Sent v <br /> f� <br /> � '--- —... , . . .'-.�--- -- -- �_- �_ .. ---.._--------'-'--- <br /> � . �1�t �. nl <br /> --------- <br /> .��� <br /> 16: <br />