WQ0007569_Delivery Receipt LV-2023-0206_20230822

■ Complete items 1, 2, and 3.
A. Signature
■ Print your nameand address on the reverse
X ', v
l ✓
"ant
❑ Addressee
so that we can return the card to you.
.
■ Attach this card to the back of the mailplece,
B. Rec ed by (Printed Name)
C. Date of Delivery
or on the front if space permits.
ver
DIE) - - I
1. Addr ssed to,
D. Is delivery addre
1 ❑ Yes
Nude
1,1 Wj
If YES, enter ❑ No
�c;zg�ay o90�,
AUG 22
2023
3 Service Ty
C O Pt i press®
IIIIIIIIIIIII
IIIIIIIIIIIIIIIIIIII
IIIIIIIIIIII
..b Jstil re all -
❑Atlult Signature
Ad u Mail Restricted
t-Certi:l d Mail®
9590 9402 7703 2122 0278 87
❑ Cedined Man Restrict rE%�
ature Congrmaton*M
❑Collect on Delivery
Ignature Confirmetlan
2. Article Number (Transfer from service label)
-
❑ Collect on Delivery Restricted Delivery
^'nsured Mail
Restricted Delivery
7021 2720 0002 3808 3885
nsured Mail Restricted Delivery
aver $500)
PS Form 3811, July 2020 PEN 7530-02-000-9053
Domestic Return Receipt
l