CRDC 14-01 CS150610■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back the mailpiece,
or on the front if space permits.
1. Article Addressed to:
2. Article r
rr mbar from service label)
PS Form 3811, February 2004
A. Signature / ❑ Agent
X ❑ Addressee
B. Received Printed Name) Date of Delivery
D. is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. SedIce Type
[7 Certified Mail Express Mail
Mail
❑ Registered ❑ Return Receipt for Merchandise
f-1 insured Mail ❑ C.O.D.
4. RestDelivery? (Extra Fee) ❑ Y=
7p1p 187p599 9210
Domestic Return Receipt
102595-02-M-1540