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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your n s verse <br />so that we TZ <br />o <br />■ Attach this piece, <br />or on the front if space permits. n Fc <br />1. Ar+icle Addressed to: <br />Y <br />OENVIRD <br />PERM <br />A. i ure <br />X ❑ Agent <br />❑ Addressee <br />B. Received by ( Printed Name) C. Date of Delivery <br />different from item 1? ❑ Yes <br />If YES, enter d livery address below: ❑ No <br />0 2002 <br />1f� <br />ENT HEALIW f <br />kc it �C✓7 6-t '?5 ?615—j. rice type <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 <br />(Transfer from service label) 7002 2030 0003 8788 6220 <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540II <br />