WQ0023693_Delivery Receipt LV-2021-0290_20211027

■ 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 mailplece,
or on the front if space permits.
1. Article Address dto•
��ue✓,wu�rclli''����tiu��,
r� T
xJJC O�e#a�--OQ �(
3.
X ❑ Agent
S vvajo ❑ Addre
B. R eived by (P nted Name) C. Date of Del
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
11111111111111111111111111111111111111111111111 oAAddult
9590 9402 6558 1028 8626 10 certli
❑ Certil
❑ Cole
9. Ar iclw Numhar ?ransferfrom service label) ❑ colle
7016 0910 0000 6171 4395 �n
er
PS Form 3811, July 2020 PSN 7530-02-000-90,93
f
pe
❑ Priority Mail Express®
ire
❑ Registered Malirm
ire Restricted Delivery
❑ Registered Mall Restricted
I®
Delivery
I Restricted Delivery
❑ Signature GonfinattonTM
Avery
❑ Signature Confirmation
slivery Restricted Delivery
Restricted Delivery
Restricted Delivery
Domestic Return Receipt