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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desinall <br />■ Print your nam essIn Iverse <br />so that we ` tcar�t <br />■ Attach this o ck 2iT`t a 1piece, <br />or on the front if space permits. <br />1..*article Addressed to: <br />L ?A-96�h&f- <br />❑ Agent <br />� teceived by (Prin d Name) kV atel aliy,�pei <br />D. Is delivery address different from item 1 ? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />T ACertified Mail ❑ Express Mail <br />,,i y� / n /i / ❑ Registered ❑ Return Receipt for Merchandise <br />l L� [ (//r1 j J ❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7002 2030 0003 8788 5322 <br />(Transfer from service label) <br />PS Form 3811, August 2001 Domestic Return Receipt 102595.02-M-1540 <br />