NCS000542_Henderson NOV Receipt_20200714

■ 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:
CI+y 4 H er- ersc l
A*,: Mr. E. Terre![ Blockmal
P o. aox 1q3'I
Havel NG �-'153&
9590 9402 5370 9189 6144 96
7D08 1300 DDDD 1125 9553
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Si€ nature
Agent
Addressee
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D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
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3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail'-
❑ Adult Signature Restricted Delivery
❑ Registered Mall Restricted
Certified Mail®
Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
^'-cured Mail
?sured Mail Restricted Delivery
_>ver$500).._
Delivery
.i�Retum Receipt for
erchantlise
0 Signature Confirmation•'^
El Signature Confirmation
Restricted Delivery
Domestic Return Receipt
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