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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse- X Agent <br /> so that et r to you. ❑Addressee <br /> ■ Attach t� t�f the mailpiece, B. Received by(Prin d me Com, �,elivery <br /> or on the front if space permits. j.(A f'� _ <br /> 1 ^ °^io°i iracSP.d to Is delivery address diff6nt fro em 1? E3Yes <br /> If YES,enter delivery address below: [3 No <br /> HOWARD AND ANNE FAIRBANKS ���aCiCuluAdf')�> 6' <br /> 813 E 950 S <br /> PROVO�i 5-1606-;053 <br /> *. <br /> t <br /> V I I I ILII I II I III II I I I I III I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 6099 0125 5516 96 0 Certified MaIIO Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> "lail ❑Signature Confirmation <br /> 7 019 0700 0001 7756 3483 lalil Restricted Delivery Restricted Delivery , <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return RIP <br /> t <br /> r <br />