NC0020648_Return Receipt_20240212

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■ 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.
1. Article Addressed to:
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A. Signature
X � a _ � ❑ Agent
//�,� ❑ Addre
B. Reqajved by
C.
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D. Is delivery address different from item 11 ID Yes
If YES, enter delivery address below: ❑ No
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3. Service Type
❑ Priority Mail Express®
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IIII
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I
I I II I
I I
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❑ Adult Signature
❑ Registered Mail-
II
0 Adult Signature Restricted Delivery
Registered Mail Restricted
X Certified Mail®
Delivery
9590 9402 6134 0209 3842 80
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
Insured Mail
0 Signature Confirmation'
❑ Signature Confirmation
7 019 1120 0001 4 8 7 7 6079
Insured Mail Restricted Delivery
Restricted Delivery
(over$500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

9590 14UC bIJ4 0209 d04C 80
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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• Sender: Please print your name, address, and ZIP+4® in this box*
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