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Postal <br /> mRECEIPT-I- (Domestic Mail Only;No lnsuranc�.Coverage Provided) <br /> mEr <br /> CE3 OF g <br /> r` <br /> 1 <br /> m Postage $ <br /> M <br /> 0 Cerfined Fee <br /> C3 Posture k <br /> p Realm Receipt Fee Here <br /> (ErMOBement Required) <br /> pRestricted Delivery Fee <br /> r_1 (Endorsement Required) <br /> Lin <br /> fL Total Postage&F+-- <br /> --I' LICENSING DEPT DC-36 <br /> C3 1 TO <br /> c3PO BOX 52085 <br /> `No°` PHOENIX AZ 850722085 <br /> - <br /> City,a,,.z 4 <br /> :rr <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2, and 3.Also complete A. Signat <br /> Agent <br /> item 4 if Rer �1 )91iW11' X i//'— ❑Addressee <br /> ■ Print your nir�Aid add2ss verse <br /> so that we cin return thenar B. Received by(Printed Name) / Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, C <br /> or on the front if space permits. <br /> D. Is delivery address different from hem 17 13 Vas <br /> 1. Article Addressed to: If YES,enter delivery address below: [] No <br /> LICENSING DEPT DC-36 <br /> PO BOX 52085 <br /> PHOENIX AZ 850722085 3. service Type <br /> xCertiflad Mail ❑Express Mail <br /> ❑Registered 0 Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Doi~P"Fee) ❑Yes <br /> 2. Article Number 7004 2510 0003 3789 3413 <br /> (transfer from service/abeq <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />