WQ0031857_LV-2023-0208 GC_20230814

■ Complete items 1, 2, and 3. a Signature
■ Print your name and address on the reverse X O Agent
so that we can return the card to you. C' ❑ Addre:
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) Cr?O
a of D%II
or on the front If space permits. 4- -C irL I
1. Article Addressedt o
D. Is delivery address different from Item 1Yes
If YES, enter delivery address below: ❑ No
7&oR-
9590 9402 7703 2122 0278 63
7021 2720 0002 3808 3878
PS Form 3811, July 2020 PSN 7530-02-000-9053
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Adult Signature
❑ Priority Mail Express®
❑ Registered MailTM
Adult Signature Restricted Delivery
Certified Mail®
❑ Registered Mail Restricted
Certified Mall Restricted Delivery
Delivery
❑ Signature Conffrrnatipn*"'r
Collect on Delivery
O signature Confirmation
-'-ot on Delivery Restricted Delivery
Restricted Delivery
id Mall
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Kl Mail Restricted Delivery
Domestic Return Receipt