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f <br /> mplete A Signature ❑Agent <br /> ■ Complete Rema 1,2,and 3. X 0 Addressee <br /> fired. <br /> item 4 if Restricted Delive a revere C. Data of Delivery <br /> ■ Print Y"T riann and*ddre�� o You B. Recelved by(Printed Name) <br /> so that*e cagtreturt! <br /> Attach card to the back of the mailpiece, 0 Yes <br /> or on th9 front if space permits. D. Is delivery address different fnml aem 1? <br /> d to: It YES,enter delivery address below. No <br /> ,. AdicleAro FEB y. 2012 <br /> 3. Type <br /> ED RALSTON Certified Mail ❑Express Mail <br /> 1340 LEAD HILL RD.#120 0 RegIs� ❑Return Receipt for Merchandise <br /> ROSEVILLE, CALIFORNIA 95661 O Insured Mail ❑c.o.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. AtIcleNumber 7010 2780 0000 6637 3710 <br /> (Transfer from service label) 102555-02-M-15401 1 <br /> PS Form 3811,February 2004 <br /> Domestic ReturnReceipt <br />