NC0086223_GrnCard_NOV-2021-LV-0194_20210506

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete Items 1,;2, and 3.
• Print your name areaddress 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:
A. Signatu
X
/L
c e ived by (Printed Name)
❑ Agent
❑ Addressee
C. Date of Delivery
A Dale Owen
15 Adventure Rdg Rd
Brevard, NC 28712
11111111111111111111
II I
1111
II
I
9590 9402 5998 0069 3241 39
2 Article M imhor ftransfar frnm .carvir•.P IahaIi
7020 1290 0001 1766 8637
. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: ❑ No
PS Form 3811, July 2015 PSN 7530-02-000-9053
3. Service Type
❑ dult Signature
Adult Signature Restricted Delivery
Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Insured Mall
❑ Insured Mall Restricted Delivery
NOV-2021-LV-0194(TH)
■
v
❑ Priority Mail Express®
❑ Registered Malin,
❑ Registered Mall Restricted
Delivery
❑ Retum Receipt for
Merchandise
❑ Signature ConfirmationTH
❑ Signature Confirmation
Restricted Delivery
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U.S. Postal Service'
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
For delivery information, visit our website at www.uspscom®
Certified Mail Fee
Extra Services & Fees (check box, add fee as appropriate)
❑ Retum Receipt (hardcopy) $
❑ Retum Receipt (electronic) $
Dee/lifted Mall Restricted Delivery $
❑Adult Signature Required $
❑Adult Signature Restricted Delivery $
Postage
fL „.3Total Postage and Fees
Q SE—
ru
fir
A Dale Owen
r` 15 Adventure Rdg Rd
Brevard, NC 28712
Postmark
Here
PS Form 3800, April 2015 PSN 7530-02-000-go47 See Reverse for Instructions