WQ0005790_Delivery Receipt LV-2023-0293_20231113

■ 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 mailpiece,
or on the front if space permits_
Qv n�I OC �2d4(5 7(CYS
II I'III'I I'll I'I l III I I I'll I I ll l l III I'll I ll I I I I
9590 9402 7050 1225 3836 97
7021�2720 0002 38�8 2536
PS Form 3811, July 2020 PSN 7530-02-000-9053
1
C3 Agent
❑ Addressee
ne) C. Date of Delivery
t from Item 17 Yes
D. Is delivery eaaress un .e n
If YES, enter delivery address below; ❑ No
NOV 16
ZU'lb
3. Service Type
❑ Priority Mall Express®
❑ RegMail*"`
3 Adult Signature
3 Adult Signature Restricted Delivery
ggisteretl
O Mall Restricted
jfCert0led Meil®
7 Certified Mail Restricted Delivery
Delivery
❑ Signature CongrmatlW.
O Signature Confirmation
❑ Collect on Delivery Restricted Delivery
n ^ Ilea on Delivery Restricted Delivery
rred Mail
lred Mail Restricted Delivery
er $500
Domestic Return Receipt ;