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Z-.87 935 673 <br /> US Posai',Service <br /> Receipt for Certified Mai , <br /> -�r, <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse <br /> Sentto <br /> Street&Number <br /> Post Office,State,&ZIP Code <br /> Postage $ <br /> Certified Fee <br /> Special Delivery fee <br /> Restricted Delivery Fee <br /> LO <br /> rn Return Receipt Showi t <br /> Whom&Data De' e d <br /> Q Retum Receipt Showing <br /> Q Date,&Addressee's Addr <br /> 6- <br /> 0 <br /> TOTAL Postage&Fees Is <br /> Postmark or Date <br /> Ei <br /> • Imo` I also wish to receive the <br /> SEN followingservices(for an <br /> °tp <br /> Corn i e n 2 for additional sery ces. extra fe A 17 d <br /> v� ■Com to items 3, <br /> a,and 4b. can return this <br /> ®*.print your name and address on the reverse of thi 'sp ce of 1 ❑ Addressee's Address d <br /> card to you. or n the N <br /> d .Attach this form to the front of the mai i 2. ❑ Restricted Delivery a <br /> permit, o <br /> Write Return Receipt Requested'on a Ricle s ell Consult an th a e Consult postmaster for fee. <br /> t .The Return Aeceipt will show to wham th d <br /> delivered. 4a.Article Number W <br /> c c <br /> ° 3.Article Addressed to: <br /> a JIB 3,pNCASTER 4b.Service Type Certified r <br /> ❑ Registered <br /> E ,WppT_S,z OIT� II3C ❑ Insured E <br /> i5i WEST CR ❑ Express Mail 3 <br /> 95206 Receipt for Merchandise ❑ COD <br /> STL3L' TdAi CA 7. of el' rY o <br /> 0 <br /> o Jo T <br /> 0 <br /> (Only if requested <br /> Z 8.Addresse ' Add s` ( Y <br /> 5.Received fay: <br /> CC <br /> Print Name) and fee i ai t-- <br /> W �n <br /> cc <br /> 5 6.Signature: (Addressee or Agent) <br /> 0 XDomestic Return Receipt <br /> PS Form 3811, December 1994 <br />