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. . . <br /> ■ Complete items 1,2,and 3.Also complete . Si ure <br /> item 4 if t X Agent <br /> ■ Print you drereverse ❑Addressee <br /> so that e C NFG <br /> eceiv by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, .i3-J� <br /> or on the front if space permits. CA) N <br /> D. Is delivery address different from Rem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Cox d v Z�. , cd. + U olnres <br /> ��T La,- -hr"''� �� • 3. Service Type <br /> ,N ,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 7pO3 2260 003 3185 9391 <br /> (transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />