490048_Mail Receipts_20230106

■ Complete items.,j,?, and 3.
■ Print your n4fti 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:
DAVID STAMEY
255 STAMEY FARM ROAD
STATESVILLE NC 28677
dwr/+PAB-1/6/23
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A.
X �° ❑ Agent
❑ Addressei
B. R1�c�eiv�e�d/ by (Printed Name C. Date of Deliven,
D. Is delivery address different from i em 1? ❑ Yes
If YES, enter delivery address below. ❑ No
i
II�IIIIiI IIII IIIIII IIIII iiIII III I IIIII IIIII III` El dultSe Signature
dull Signature Restricted Delivery
Certified Mall®
9590 9402 7471 2055 3999 49 Certified Mail Restricted Delivery
❑ Collect on Delivery
L-Article-NumbenIIfamferirom_sendcela6e ❑Collect on Delivery Restricted Delivery
7018 3090 0001 2322 9 2jsured Mal
�6 7 ;sured Mali Restricted Delivery
❑ Priority Mall Expresso
❑ Registered MajJTM
❑ Registered Mail Restricts
Delivery
❑ Signature Confirmations
❑ Signature Confirmation
Restricted Delivery
PS Form 3811 - July 2020 PSN 7530-02-1100-9053
Domestic Return Rpnpint

Domestic
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Certified Mail Fee
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$
Extra Services & Fees (check bar, add fee as appropriate)
❑ Return Receipt (hardcopy) $
❑ Return Receipt (eiectrcnic) $
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[]Certified Mail Restricted Delivery $
[]Adult Signature Required $
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❑Adult Signature Restricted Defivery $
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Postage
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$ D4VIUSIAMEY
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To 255 STAMEY FARM ROAD
$1 STATESVILLE NC 28677
Se dwr/ 1/6/23
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