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C1-, <br />i • <br />Q"' <br />C` <br />Postage $ <br />Certified Fee <br />Postmark <br />r` <br />n- <br />Return Receipt Fee <br />Here <br />(Endorsement Required) <br />r- <br />C3 <br />3 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />C <br />O <br />Total Postage & Fees <br />O <br />Sent To . <br />7 <br /> <br />TM <br />o,' t~ <br />j T4f•I /jx(~ i•L,~ <br /> <br />- <br />ti <br />- <br /> <br />Street, Apt. No.; Q'q? <br />( / f/ <br />x No <br />O B <br />= <br />- <br />. p <br />, <br />o <br />or P <br /> <br />O <br />CJ <br />City, State, ZIP+4„~ <br /> <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 />■ A"-°h this card to the back of the mailpiece, <br />o` the front if space permits. <br />1. Article Addressed to: <br />Tai 64V1aG4-s-7n4W <br />'T'4M 70-W. /4e. <br />0, c~ f 8~9tC ll 41p l <br />~v~NEl ©Q <br />❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C; Pate of.DelNM <br />D. Is delivery address different from Rem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se oe Type <br />Se V '08 <br />Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) i,7: 00.1 ; - 2 510 0007 : 9 7 41 7979 <br />PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI 03 P 4081 <br />