NCG030290_NOT Greencard Rescission_20200113

■ 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:
I
I � I Z, M+1( SetV Ce"{n k(
A.
X
B. Received by (Printed Name).
D. Is delivery
If YES, en
❑ Agent
C. Date of Delivery
m item 17 Yes
below: No
111111111 Jill 111111111111111111111111111111111 3. Sexice Type iK7 Priority Mail Express®
❑ Adult Ngnature ���t3 Registered MaiITM
❑ Adult Signature Restricted /p Registered Mail Restricted
9590 9402 2145 6193 3426 00 ❑ Certified Wile y Delivery
❑ Certified Map, Restricted,0 j'idry ❑ Return Receipt for
El Collect on Delivery Merchandise
2. Article Number (transfer from service label) ❑ Collect on Delib�ry Restricted Delivery 0 SlgrSture Confirmation-
- --- - - — ---�-�'-'lail ❑ Signature Confirmation
7002 0510 0003 1753 4525 3�il Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000.8053 Domestic Return Receipt
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees