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Z 128 782 769 <br /> uS Postal S=Vic <br /> Receipt for Certified Mail <br /> No Insurance coverage Provided. <br /> Do not use for International Mail nqna reverse <br /> Sent to { , Sue 1 <br /> I 1 I' <br /> Street A 7� 6 <br /> W <br /> Post Office,State,&21P Code S 3 1 J <br /> r }o <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered <br /> .Q no.flee*Sho M to Whom, <br /> Q Dale,&Addressee's Address <br /> O TOTAL Postage&Fees <br /> Go <br /> [h Postmark or Date <br /> 0 <br /> 0 <br /> LL <br /> rn <br /> aN ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete Received by{Plea Tint Clea ) B. Date Delivery <br /> item 4 if Restricted Delivery is desired. '�iZA A d ie Ir <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. C. Sig <br /> ■ Attach this card to the back of the mailpiece, Agent <br /> or on the front if space permits. Addressee <br /> D Is ve dress different from item 1? Yes <br /> Article Addressed to: ++ If YE , ter delivery address below: ❑ No <br /> Ct � -� 2an�e �tCCe ( I 1 <br /> 1 r� 3. Service 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{Copy from service label) <br /> t- 1 a-$ -n �L '7 to 9 U,,,,t M t_0-P, j 776 UJC'e4y <br /> PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1769 <br />