17D-064 (2) SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2, and 3. Also complete A. Signature ,
4
X
item 4 if Restricted Delivery is desired. i ❑ Agent
• Print your name and address on the reverse ir- Addressee
so that we can return the card to you. ..
B. R. - : ^ ed by (Pr! , ,;,L N ) C. D • of livery
• Attach this card to the back of the mail „i/` 4/ , Z 'j s 1
or on the front if space permits. / I (p� c
1. Amide Addressed to: D. ;del re
a .:- different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No ea,d,./..k,
3. Service type
7d ✓/ •0/02 ❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. ArtldeNumber
(iFanster from so 7006 2760 0005 2242 5970
PS Form 3811, February 2004 Domestic Return Receipt 102595.02- M-1540