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Postal <br /> RECEIPT <br /> un <br /> uI (Domestic <br /> CID <br /> Cc <br /> Postage $ <br /> M <br /> O Certified Fee <br /> 0 Postmark <br /> Return Reciept Fee <br /> (Endorsement Required) Here <br /> O Restricted Delivery Fee <br /> M (Endorsement Required) <br /> O <br /> ni Total Postage&Fees $ <br /> ru <br /> Q Sent To <br /> O ia0'D\ --J Z�\C, ---C" �------ <br /> C` Street,Apt No.; w <br /> or PO Box No. �3 ----c-- <br /> --- y---M1 �5.e--------------------•- <br /> PS Form City,State,ZlP+4 <br /> :00 June 2002 <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1, 2,and 3.Also complete A. Sit to <br /> item 4 if Restricted Delivery is desired. X nt <br /> ■ Print your;,,f1a re o[1 hq,reversejL—I.-Atressee <br /> so that w C 11 u e C u. B. Received by(Printed Name) . Date of <br /> ■ Attach thi r� �le�ac�fleiaiIpiece, w i g Imb?" <br /> or on the front if space permits. <br /> PIplivery address different from item 1? 0'Yes ` <br /> 1. Article Addressed to: D I`, IfIYiS,enter delivery address below: ❑ No <br /> - <br /> �. C-�- N 0 V 2 0 UO2 <br /> \3'b\ ENVIRONNIEf`1 <br /> Q PERMIT,/SERV CEe Type <br /> Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑ Yes <br /> 2. Article Number 7002 2030 0003 8788 7555 <br /> (transfer from service label) <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 <br />