38B-317 (2) SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2, and 3. Also complete A. S • nature
item 4 if Restricted Delivery is desired. { � CI 0 ressee
Agent
• Print your name and address on the reverse
so that we can return the card to you. B. R: dyed by (Printed Name) C. Dat= of D- livery
■ Attach this card to the back of the lec ,
or on the front if space permits j) r \ r.'� t 74' 1 1
D. Is delivery address different from item 1? • Yes
1. e t - = • to: If YES, enter delivery address below: ❑ No
'
/ i f / 3. Service Type
Q�d U ❑ Certified Mail ❑ Express Mali
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from se 7006 2760 0005 2242 5895
PS Form 3811, February 2004 Domestic Return Receipt 102595.02- M•1540