NCS000410_Clemmons Letter Receipt Card_20200625

■ 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:
V1-1149q; of if fem mS
,4f/r1 6-It- 13 ,4�I,
37 f 5 C lem n�%cl,s Road
jew,m on s, Ii 27O/ 2
III'lllll I'll IIIIIIIIII IIIIIIIII ll I I III ll III
9590 9402 5370 9189 6137 41
Article Number (Transfer from service label)
7008 1300 0000 1125 9515
PS Form 3811, July 2015 PSN 7530-02-000-9053
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A. Signature
'1` //,
X -F 1 Addressee
B. Receiv by (Printed Name) C. rate o Delivery
C9a S�zc7
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Pdority Mail Express®
❑ Adult Signature
❑ Registered Mail'M
❑� dull Signature Restricted Delivery
❑Registered Mail Restricted
ecertified Mail®
Delivery
❑ Certified Mall Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
❑ Signature ConfirmationTM
❑ Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
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Domestic Return Receipt :