WQ0005790_NOV/NOI-2023-LV-0299_20230508

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■ Complete Items 1, 2, and 3. A•
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B•
or on the front If space permits.
1. Article Add reased '�dDZR--
❑ Agent
mWIelyea Dy (printed Name)) C. Date of E
Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
IIIIIII
11111111111111111II1111111III11111111
DCrtmedMa ®Reatric ed Delvery
DRegist
elivery dMail Reetdc ed
9590 9402 7050 1225 3838 64
Rstricted Delivery
rer
❑ Signature ConnrmetionTM
t. Article Number ?ransfar from service label)
❑ Co11
on Delivery D Signature Confirmation
_❑ Collect on Delivery Restricted Delivery Restricted Delivery
7021 2720 0002 3808 2604
Insured Mail
Insured Mail Restricted Delivery
--
S Form 3811. July 2020 PSN 7530-02-000-9053
(over $500)
Domestic Return Receipt ;
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