Certified Mail Receipt

19 Complete.[terns 1, 2, and 3.
111 Print your`ttame and address on the reverse
so that we can return fhe card to you.
19 Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to:
Y-g' 5n�gq
33(U laces
LOY& marY, r-L- 3arl-'4 1,
A 5i cure
1 -4 © Agent
6PL1 ❑ Addressee
13_ eceived by (Printed Name) C. Date of Deitvery
D. Is delivery address different from item 1? "U Ye:
If YES, enter delivery address below: ❑ No
3. 'Service Type
Q i l Express@
06 Adult $ ae
El ed Mail7m
Ci dui Signature Restricted Delivery
❑ Registered dMail Restricted
9590 9402 4271 8121 9 81 14
ertitid Mat°°
❑ Certified Mail Restricted Delivery
Delivery
q Retum Receipt for
❑ Collect on Delivery
iuFerchandise
2. Article Number (transfer from service label)
Li Collect on Delivery Restrfcted Delivery Q Signature ContlnnatiovT
3 insured Mail CI Signature Confrmatlon
7 018 1830 0001 6 5 8 0 1557
]Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt