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—D CERTIFIED MAILP RECEIPT
Domestic Mail Only
Q' For delivery information,
a3s R
Ill Certified Mail Feet
P.- $
= Extra Services & Fees (check box, add fee as appropriate)
C3 ❑ Return Receipt (hardcopy) $
❑ Return Receipt (electronic) $ Postmark
❑ Certified Mall Restricted Delivery $ Here
[]Adult Signature Required $
IU U.)❑Adult Signature Restricted Delivery $
Postage
C3 $
t R Total P
sent To Roger C Floren, II
E-------- Flesher's Fairview best Home
co Streetai PO Box 1160
� ciry sta, Fairview, NC 28730-1160 .--------------------------
■ Complete items 1, 2, and 3. Arig
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so that we can return the card to you. X Addressee
■ Attach this card to the back of the mailpiece, B.Iceived by ted Na v e) C. Date of Delie
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or on the front if space permits. \ O�
1. Article Addressed to: D. Is deliv address different from item 1? ❑ Yes
-----�-� If YE , enter delivery address below: ❑ No
F
Roger C Floren, II
Flesher's Fairview Rest Home
PO Box 1160
Fairview, NC 28730-1160
ll � il�lil I'll IiI I I� II lI I II I I I I I II I II II it l ll III
9590 9402 8770 3310 7840 93
2. Article Number (Transfer from service lahefl
9589 0710 527.0 0475 7190
PS Form 3811, July 2020 PSN 7530-02-000-9053
3. Service Type ❑ Priority Mail Expresso
❑ Adult Signature ❑ Registered MallTM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ Certified Maile Delivery
❑ Certified Mail Restricted Delivery ❑ Signature ConfirmationTM
❑ Collect on Delivery ❑ Signature Confirmation
O Collect c ',led Delivery
NOV-2024-PC-0462(MK)
60 ' NC0034924 (BUNCO)
Domestic Return Receipt