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Postal <br /> cO CERTIFIED o <br /> RECEIPT <br /> 111 Domestic Mail Only <br /> Ln <br /> M <br /> Gerti m. <br /> C3 <br /> $ <br /> Extra S Ice ees((Check box,add fee s ppopdate) <br /> C3 ❑Return Receipt(hardcopy) $ ` <br /> r3 ❑Return Receipt(electronic) �— <br /> (] ElCertKPost rked Mail Restricted Dell Here <br /> 1:3 El Adult Signature Required <br /> ❑Adult Signature Restricted D <br /> 13 Postage <br /> E3 <br /> R1 Tota <br /> r- $ ANDRES & OLGA GON EZ <br /> C3179 BISMARK ST <br /> DALY CITY CA 94014 <br /> ------------ <br /> crrj <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> _�r t fir r�r•,.. _ <br /> SECTION . <br /> ■ Complete items 1;2,and 3. A. Si atpre /f <br /> ■ Print your name.and address on the reverse X // ❑Agent <br /> so that we can returnthe•card to you. C ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Re eiv by(Printed e) Date of Delivery <br /> or on the front if space permits. d rt C. //-/ <br /> 1. Article Addressed to: D. Is delivery a e Yes <br /> If YES,enter delivery address below: `'p No <br /> i <br /> ANDRES& OLGA GOMEZ MAY, 14 7 ' <br /> 179 BISMARK ST ENVIRONN1EN"1°111, Ili,.�l:l'll <br /> DALY CITY CA 94014 <br /> 3. Service Type ❑Priority Mail Express@ <br /> 'I"I'Itl I'll I'I I II II I I II II I I III I I'I I II II II III ❑Adult Signature ❑Registered MaHTM <br /> .Adult Signature Restricted Delivery El Registered Mail Restricted <br /> 9590 9402 3741 7335 6421 19 certified Mail@ Delivery <br /> El Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9, Artinla Ntimher(Transfer from service lahai) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation <br /> 7 017 2400 0000 6058 3528 flail Restricted Delivery Signature Confir tion <br /> Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />