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15B-012 (2) Po stal --CERTIFIED MAIL,,, RECEI (Domestic Mail Only; No Insurance Coverage Pro Ln For delivery information visit our at www.usps.cc,m& m Postage $ rll Ce itied Fee , C3 Return R eipt Fee `4 y a (Endorsement Required) e "r Restricted D e liv ery Fee t • • • D ELIVERY p (Endorsement nt Required) .A - r- Total Postage & Fees I s ent dressee Sen � �� rl'I A NDS O /! ----- ...__•.__ y =(Plinted ) C. Date of Delivery M Street, t. . `s!! a s� C / ° ' ° (�- or PO Box No. IQ� � � d l -----._.. -- ... ...... ......... ....................:.. °- °-.:.. .�._ °_- address different from item 1? ❑ Yes Ctry, State, - 71P+4 /L- 1P+4 j fC C �y� a10 r delivery address below: �No PS Form r 006 J r See Reverse for lnstrucflo)) St / R►�pS M of o :� 3, Service Type 1 � - 13 CerUW Mall ❑ E4"ss Mail 0 Registered. D Retum Receipt for Merchandise O Insured Mail 0 C.O,D, 4. Restricted Delivery! (F. t Fee) ❑ Yes 2. Mole Number _ --- (Transfer - -) (Transferfrom s 7006 2760 0005 2243 7508 PS Form 3811, February 2004 Domestic Return Receipt 102595-02 - (+1540 i