HomeMy WebLinkAbout20080468 Ver 1_Certified Return Receipt_20080414^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ 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:
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A. Si lure /~
X ~~ ~~/j,~,Agent
(~ 77 ~" (/ ^ Addressee
B. R efved y (Prin a Name) C. ate alive
~1~~1 ~s~ ~-~ -off
D. delivery a dress different from item 11 ^ Yes
If YES, enter delivery address below: ^ No
_ - - --
_ -
3. Service Type
^ Certified Mail ^ F~cpress Mail
^ Registered ^ Retum Receipt for Merchandise
^ insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2, Article Number z
(Transfer from service labeq .~~~r ~ ~~~ (~-' r) ~I ~`_(' ~ 1 _ ~_ `~ ~1 ___~ ~`\'~~
• PS Form :311 _ Fehniarv ?004 Domestic Return Receipt 102595-o2-M.t54o
UNITED ST~'r~S.~?QST~':~E~2~tk4E;
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• Sender: Please print your name, address, and ZIP+4w n~this box • "~"""'"
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