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COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is closi -- rte'" 0 Agent <br /> ■ Print your name alto erse X `` .---�" '❑ dressee <br /> so that we Can ��th1�� to B. Received by(Printed Name) C f every <br /> ■ Attach this card to he back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: F(E I dress different from item 1? Yes <br /> enter delivery address below: ❑No <br /> JOHN PERRY SEP 2013 <br /> PINS & NEEDLES <br /> 64 W 11" STREET pRON` e <br /> TRACY CA 95376 PERM 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 7010 2780 0000 6640 0805 <br /> (transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return fi•cNPt 10269&-02-M-1540 <br /> Postal <br /> RECEIPT <br /> I CERTIFIED MAIL,,, <br /> O (Domestic Mail Only; Provided) <br /> c <br /> c3 <br /> Im <br /> -� (U t <br /> O ertifiad Fee <br /> r-3 Return RFee tmark <br /> O (Endorsement=ired) ere <br /> G7 <br /> Restricted DeliveryFee /y _ <br /> 0 (Endorsement Required) <br /> ca <br /> r- - - . -- _ a• <br /> rtl <br /> C3 JOHN PERRY <br /> o PINS & NEEDLES ------ <br /> r` 64 W 11TH STREET <br /> TRACY CA 95376 <br />