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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Deliveryis desired. ❑Agent <br /> X g <br /> ■ Print yoIJK" <br /> Wre o t reverse `— ❑Addressee <br /> so that e C U. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach te ac ailpiece, <br /> or on the front if space permits. I J <br /> 1. Article Addressed to: D. is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery addrE�s below:,,, ❑ No <br /> CD <br /> CA - 3. �Service Type. Z' <br /> Ya Certified Mail ❑ ess WHZ* <br /> ❑ Registered 11 urn R*eipt for Merchandise <br /> ❑ Insured Mail ❑%b.D.:=`7 Y' <br /> 4. Restricted Delivery?(Eie Fee) ❑Yes <br /> 2. Article Number 7002 2030 0001 7624 88`x' <br /> (Transfer from service label) <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-25091 <br />