WQCS00284_DV-2023-0087_20230612

■ Complete Items 1, 2, and 3.
1A. Signature
■ Print your name and address on the reverse
X
❑Agent
so that we can return the card to you.
❑ Addre,
■ Attach this card to the back of the mailpiece,
or on the front If space
B. R Ivedy We Name)
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C. D to of eli
permits.
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1. Article ddressed to: /J' /
f G�
D. Is delivery address different from item 17
If YES, delivery
Yes
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enter address below:
❑ No
ate,
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�dQfura, SIC as�aa-oavq
2.
9590 9402 4435 8248 4493 82
7021;2720 0002,3808
PS Form 3811, July 2015 PSN 7530-02-000-9053
3. Service Type
❑ Priority Mall Express®
❑ Adult Signature
❑ Adult Signature Restricted Delivery
Certified Mail®
❑ Registered Mail-
❑ Registered Mall Restricted
Delivery
❑ Certified Mail Rwtrlcted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation*M
73 sd Mail
❑ Signature Confirmation
pd Me11 Restrioted Delivery
Restricted Delivery
DV-a-0a3 -0087
Domestic Return Recelpt