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W <br /> Postal <br /> o CERTIFIED MAILT. <br /> r- (DomesticOnly; <br /> co <br /> ru <br /> Postage $ <br /> Certified Fee <br /> � Postmark <br /> 0 Return Reciept Fee Here <br /> (Endorsement Required) <br /> C3 Restricted Delivery Fee <br /> rri (Endorsement Required) <br /> O <br /> nJ Total Postage&Fees <br /> ru <br /> O Sent To Gj C^ — �.INA <br /> O 11 J--------- ---- <br /> --- ------- ------------------- <br /> I.1— <br /> Street,Apt.N -1 go <br /> MQ�I 6'u r <br /> or PO Box No.. <br /> -----------------•----•'-------•----'---•-------..••-1----'-----�-----•-----••------ <br /> City,State,ZIP+4 33 <br /> PS Form :0i June 2002 <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also com tete A. Signature <br /> tem 4 if Res is E#D�ftver is as.s X El Agent <br /> ■ Print your na e4-and address on th r erse Addressee <br /> so that we c tarn'tl4e Card t$yM. B. Re d by(Printed Name) C,Date of Dativery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address differ from it@rra2? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery ass below'. ❑ No <br /> SAIvAI�c �- f�`,y�iS� F�-• <br /> at -.<rT-, <br /> /VIAIvJ "cA, Cor• 1 `'r T 73(. 3. Service Type <br /> App �`4n ^e ev6� Certified Mail q,Zcpreski <br /> �J ❑ Registered C740eturn Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7002 2030 0001 7624 8710 <br /> (Transfer from service lab <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 <br />