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F— <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print o n reverse <br />At that v �t Tb cid u. <br />■ Attach t h ba ailpiece, <br />or,on the front if space permits. <br />1 1. Article Addressed to: <br />S�14r1Ck Or(4A4ti. Vn IZ -%'\ <br />A. Signat re <br />X , _ <br />Agent <br />❑ Addressee <br />B. Received by (adqted Name) <br />:ire` 1 i/. <br />C. Date of Delivery <br />1//,/ 9 <br />D. Is delivery address different from <br />item 1? ❑ Yes <br />r&-:er 7vudress below: ❑ No <br />fr-19 <br />10V 2 0 200 <br />� rr��AiT�] Express Mail <br />L <br />d9g ES ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service label) ?002 2030 0003 8? 8 8? 5? 9 j <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-15401 <br />