WQ0013200_Delivery Receipt LV-2024-0004_20240108

■ complete Items 1, 2, and U.
■ 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 permit_
II I'lll'I IIII III I III I I IIII I I II I l i II IIIii l I III
9590 9402 7050 1225 3634 99
PS Form
i
, July 2020 PSN 7530-02-000-9053
If YES, enter delivery address below:
Domestic Return Receipt