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Postal <br /> CERTIFIED o RECEIPT <br /> Domestic Mail Only <br /> rij <br /> o _ <br /> ED " <br /> 1-11 Certified Mail Fee <br /> $ <br /> Extra Services&Fees(check bar,add fee as appropriate) <br /> O ❑Return Receipt(hardcopy) $ <br /> O ❑Return Receipt(electronic) $ Postmark <br /> ❑Certified Mail Restricted Delivery $ \ Here <br /> re <br /> C]Adult Signature Required $ d(� <br /> ❑Adult Signature Restricted Delivery$ t!l� <br /> O Postage <br /> Ln <br /> $ h� <br /> !T7 Total Postage and Foes <br /> $ <br /> Sent Toru <br /> i, <br /> Street and Apt. o.,or P $ox No. �\ ^y <br /> f` V a <br /> �Ity Mete.ZIP+4i-------, vi �,^n(,, <br /> �,(, <br /> Vr <br /> COMPLETE SECTIONCOMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3. A. Slgnat <br /> ■ Print your name and address on the reverse X ' ❑Agent <br /> so that we can return the card to you. ❑Add essee <br /> ■ Attach this Card to the back of the mailpiece, B Receiv=by(Printed Name) e f elivor on the front if space permits. f <br /> 1. Article Addressed to: D. Is delivery address different from item ? ❑ es <br /> ��o_•\a ���� If YES,enter delivery address below: p No <br /> 'fie•. �, P� a'�t mo►r'�'��� S SEP 17 2022 <br /> —IC-1 3. Service Type ❑Priority Mail Express@ <br /> II I I II III II I III III II I III IIII I I I I ❑Adult Signature ❑Registered Mail*" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> D'Certified Mail@ Delivery <br /> 9590 9402 6099 0125 5593 57 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> E]Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmatlonTM <br /> 2. Article Number(Transfer from service label) _ r a Mail D Signature Confirmation <br /> 7021 0350 0000 81,50 2060 Aall Restricted Delivery Restricted Delivery <br /> O) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 D-,1r.estic Return Receipt <br />