20190140 Ver 1_Certified Mail - 1_20190131

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,� Cer#itied Mail Fe�
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� Ext�a Services & Fees (�7,eck[Ma, edri�ee
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� 0 Rei�m Receipf (hazctcoPY) � �
[] Reium ReceEpi {electronic) $ _
� ❑ certified Maf� Resrncfed oervero g_
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� ❑Adult Signatwe Requlred $ _
[]i4duk Signalure Restricted Defivery $ �
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� Total Postage and Fees
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�1 Street andApt No., or AO 8ox No.
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■ Corrtple#e items 1, 2, and 3.
■ Prini your name and address on the reverse
sa that we can return the oard to you.
■ Attach this card #q the back of the mailpiece,
or on th� front �f space pesmits.
t. Article Addressed to:
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A. Signature
X CI Agent
0 Addressee
B. Received 6y (Frinted NameJ C. Date af De!€ver,r
D. Is delivery address different from item '!? ❑ Yes
If YES, enter d�livery address below: [� h�p
I I Illfll �II I�!!� I�ffl� II � I� I� � I I��� I!� ❑ A u Ssgn ture�iR�stricted belivety ��i�e �'MailResfr�icted
9590 94Q2 3248 7196 8792 19 ��'fedMad� Ilehvery
❑ Certified Mail RssincEed 13elivery q Aeturn Reeeipt for
❑ Collect on �elivery Merchandfsa
2. Articfe Nl�mher {TrdRS%r frOrtr service label) Q Collect on Qelivery Restricted �elivery 0 Signat�re ConfirrnationT�^
0 Signature Conflrmation
7 � 1.r 7 �.r � '��' � � Q 0 � ,�j �} (� � � � � � :ricted Delivery� Restricted Deliuery
= PS Farm 3811, J�41y t^Oi5 PSN 7530-02-ODO-9D53 Domestic Retum Receipt ;