Certified Mail Velazquez

Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
-VELAZQUEZ 'TAN ( -A B MRS
194 OLD SAWMILL RD
LUMBERTON NC 283603831
A. Sig
KA
D. Is delivery address different from item 1?
If YES, enter delivery address below:
❑ Agent
11 Addressee
of Delivery
❑ Yes
❑ No
3. Service Type ❑ Priority Mail Express(D
❑ Adult Signature ❑ Registered MailTM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
9590 9402 3463 7275 8427 59 Certffied Mail® Delivery
Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
El Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM
�- Article Number (Transfer from service label) r-, Insured Mail ❑Signature Confirmation
7016 3010 0000 2833 3591 Insured Mail Restricted Delivery Restricted Delivery ,
,over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt