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Not <br />ittiCelkee <br />eceived by ( btedpia e C. Date of Deli?ilry <br />—lraCIC s_ , <br />D. Is delivery address different from tte1 1.-rYff)0 <br />If YES, enter delivery addrei° be w: 0 No <br />• NO- <br />A. Signatu <br />X <br />Pr - • <br /> <br />U.S. Postal Service, <br />CERTIFIED MAIL, RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.come <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />km) <br />Postmark <br />Here <br />I. <br />ANDREW D SMITH <br />115W WALNUT ST STE 3 <br />or PO Box No <br />LODI CA 95240-3541 Street, Apt. IV, <br />RE C00035127 - 8503 WINDMILL COVE City, State, Zli <br />Total Posta <br />Sent To <br />RTN: RVF <br />PS Form 3800, August 2006 See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />ANDREW D SMITH <br />115 W WALNUT ST STE 3 <br />LODI CA 95240-3541 <br />RE: C00035127 - 8503 WINDMILL COVE <br />RTN: RVF <br />COMPLETE SECTION ON DELIVERY <br />Ifit-"441° <br />3. <br />ier • rtifiatt,m Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7011 2970 0 0 0 3 9 1 3 3 0 9 8 3 <br />PS Form 3811, February 2004 102595-02-M-1540 Domestic Return Receipt