NCS000442_Rocky Mount NSW MS4 Memo Green Card_20181212

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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 mailpieee,
or on the front if space permits.
1. Article Addressed to:
Msr�ochcl(�
�/i..l M((wrlta7c�,zrr'
(-. )n j JT I�--dcr+� MJtlrti'
pC �U� t1 ft )v C 2-1(d62
2. Article Number
(1Ysnsfer from service label)_
PS Form 3811, February 2004
A.
❑ Add
S. Receive y (printed Name) 0,13ete
of 0
D. Is delivery address different tram item 1? No
If YES, enter delivery address below: Cl
3. Service Type
[,Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7008 1300 0000 1124 4047
Domestic Return Receipt
AD