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Postal <br /> CERTIFIED o RECEIPT <br /> M <br /> Lry Domestic Mail Only <br /> C3 <br /> ru For delivery info,rmation,visit our website at wwmusps.com`� <br /> ED A a-•:� <br /> LnCertified Mall Fee �'l�_ <br /> rq <br /> .0 $ �!, �y <br /> Extra Services R Fees(check box,add tee as appropriate) Glom, <br /> O ❑Return Receipt(hardcopy) $ `�•�'t�, <br /> ❑ <br /> Return Receipt(electronic) $ki Postmark <br /> ❑Certified Mall Restricted Delivery $ Here <br /> C:j ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ /�M [•�f�,w <br /> o �• 2 <br /> Postage <br /> M $ '� <br /> O Total Postage and Fees <br /> � sent To _ <br /> �� 1� �W � �1� -----W\ . <br /> � $treat and Apt.No.,or F�0$ox No.' <br /> COMpL.ETE THIS SECTION <br /> ONBELIVERY <br /> SENDER: <br /> I A. Signature - ❑Agent <br /> ■ Complete items 1,2,and 3. <br /> ■ pr" ,our name and address on the reverse X �� ),, Z� �--� � �Q,Addressee <br /> 1. It we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. LJ Yes <br /> 1. Article Addressed to: D. Is delivery address different from item 1. <br /> If YES,enter delivery address below: -i:�No <br /> SES' 1 <br /> 4 '101e <br /> ENVIRONMENTAL HEALTH <br /> ((,� n1�(�5"�i L�.fC. 3. Service Type ❑Priority Mail Express@) <br /> �C./• ` _ II II III III 111111 <br /> III I III ❑Registered MailTR <br /> IIIIIIIII I'll IIIIIIIIIIII II I ❑Adult Signature <br /> ❑Adult Signature Restricted Delivery (3 Registered Mail Restricted <br /> Certified Mail® Return <br /> ❑Return Receipt for <br /> Certified Mail Restricted Delivery Merchandise <br /> 9590 9402 6099 0125 5593 64 ❑Collect on Delivery ❑Signature Confirmation'" <br /> ❑Collect on Delivery Restricted Delivery L]Signature Confirmation <br /> 2. Article Number(Transfer from service label) Mail Restricted Delivery <br /> vlail Restricted Delivery <br /> 70211 0350 0000 8150 2053 _,o) <br /> Domestic Return Receipt <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br />