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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print yourliffe <br />reMa'lpiec <br />evers <br />sothatw c.ttach thiac <br />or on the front if space permits. <br />Article Addressed to: <br />(0 39 +nr.� 5T <br />ckt►' <br />�5 Za tP <br />If YES, enter <br />NO 2 0 2002 <br />HEALTH <br />3. <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />different from item 1? ❑ Yes <br />ery address below: ❑ No <br />certified 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 8019 <br />(Transfer from service <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />