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SENDER: COMPLETE THIS SECTION Ui(VPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ,�' ❑Agent <br /> ■ Print your n arse X < ❑Addressee <br /> so that we n e ardn B. Received by(Pl ted Name) C. Da of Dere <br /> r■ Attach this c k o apiece, I _ j_ <br /> or on the front if space permits. /l <br /> D. Is delivery address different from item 1? 11 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> (2�f w• �toto, <br /> 3. Service Type <br /> V►` ertified 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 7951 <br /> (Transfer from service label) <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 <br />