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For delivery information, visit
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Certified Mail Fee
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❑ Return Recelpt (hardcopy) $
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❑ Return Receipt (electronic) $
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❑ Certified Mall Restricted Delivery $
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❑ Adult Signature Restricted Delivery $
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■ 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:
Janet H Mason, City age
Town of Forest City
PO Box 728
Forest City, NC 28043-0728
IIIII�IIIIIIfIIIIII IIIII IIIIII'I flllll
9590 9402 5998 0069 3220 98
2. Article Number (transfer from service label)
7022 0410 0002 1249 3458
; PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signature
X ❑ Agent
❑ Addressee
B. Rece ed by (Printed Name) CDate of Delivery
D. Is dci(very address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
Signature
❑ Registered MaiITM
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❑ dult Signature Restricted Delivery
❑ Registered Mail Restricted
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certified Mail Restricted Delivery
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Merchandise
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❑ Signature Confirmation
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Restricted Delivery
NOV-2023LV-0168 (LA) s-
NC0087084 RUTHE
nestic Return Receipt