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SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. <br />Put your address in the "RETURN TO" space on the reverse side. Failure to do this will prevent this <br />card from Baine returned to op. The return re t fee will rovi e u the na a of the rson <br />delivered to and the date of ddlive . For 8ddttTeti fees the foil. Ing ser r s ev liable. Consult <br />postmaster for fees and check box esi for additional service(s) requested. <br />1. tiµ Show to whom delivered, date, and addressee's address. 2. ❑Restricted Delivery. <br />3. Article Addressed -to: 4.Article Number <br />4?_ 0 Lt r4 `1 Type of Service: <br />Dr Registered ❑ Insured <br />J� Certified ❑ CO© <br />'SGl Express Mail <br />Always obtain signature of addressee or <br />agent and DATE DELIVERED. <br />5. Signature — Addressee 8. Addressee's Address (ON] Y if' <br />x requested and fee ,paid) <br />6. Silpature — Agent <br />X <br />7. Craie of Delivery , f <br />P$ Form 3811, Feb. 19$6 DOMESTIC RETURN RROF"7 <br />P-509 239 222 <br />RECEIPT FCH C;Eh IFI'EU MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(.SpP Reverse) A/a - Air Zig <br />� <br />Sheet and No <br />w� Gt V i <br />PO,Sta x,nZIPC0ne <br />Postage <br />Cert,he,U Fee <br />W <br />Speoal Delivery Fee <br />t <br />Aestncte.n Delivery Fee <br />Return Receipt showing <br />Io whom and Date Delivererl <br />Return Receipt showing to whum. <br />Date. and Address of Delivery <br />TOTAL Postage and Fees <br />`- <br />Postmark Or Date <br />co <br />Sens to a L)� r <br />L <br />M <br />W <br />O <br />a <br />vi <br />m <br />rn <br />d <br />C <br />4 <br />O <br />W <br />M <br />E <br />O <br />LL <br />U) <br />CL <br />