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■ Complete items 1, 2, and 3. Also complete <br />item 4 if r' <br />■ Print you ff3ryjF-M.Mi <br />eost reverse <br />so that r r .•�� <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Arlicie Addressed to: <br />POK 1 I <br />us <br />A. Signature <br />❑ Agent <br />X <br />❑ Addressee <br />B. Received by (Pri d Name) <br />N1 <br />Ra very <br />1 �, <br />D. Isdelive ddress different from item 1? 11 Yes <br />If YE enter delivery address below: ❑ No <br />3. a Type <br />rCertified <br />Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7002 2030 0003 8788 5148 <br />(transfer from service l; <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />