NCS000558_Benson NORE Cert Mail Receipt_20210419

■ 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.
Article Addressed to:
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A. Signature
\ t Agent
X 1 V (/1.� ❑ Address:
B. Received by (Printed Name) C. Date of Deliver
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: Wo
ll I'II �l I'll I'I i illlll �illl�ll lllllll ll II III 3. Service Type ❑ Priority Mail Express(D
❑ Adult Signature ❑Registered MaiIT"'
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restric
9590 9402 5370 9189 5853 45 Certified Mail® :livery
Certified Mail Restricted Delivery return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation'
- Mail ❑ Signature Confirmation
7 019 1120 0002 0066 3026 Mail Restricted Delivery Restricted Delivery
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PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Recelp
9402 5370 9189 5813..4.55
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First -Class Mail
Postage & Fees Paid
LISPS G-10
Permit No.
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•Sender: Please print your name, aaw���� -•�-
United States
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