17D-064 U.S. Postal Service TM
EN-
CERTIFIED MAIL,. RECEIPT
,* (Domestic Mall Only; No Insurance Coverage Provided)
u For delivery information visit our website at www.usps.come
/
ru Aii...t
.i- - 4
M 11.1 Postage S
I • ON
Certified Fee
U 0
''
q' , ; ! - Postmer
Return Receipt Fee
(Endorsement Required) Z ' Here
0 4t ‘ VI
Restricted Delivery Fee % (-‘, a.
I:3 (Endorsement Required) 1-•
-n . .......
• 1 -3-
r• +
....)
Total Postage & Fees $
ru
...n Sent Toll -
C3 d/D4...e4...'
N o4P0 Box No. /
City, State & - i
..all 4 0 77 0 /
PS Form 3800, August 2006 See Reverse for Instructions
U.S. Postal ServiceTM
CERTIFIED MAILTM RECEIPT
im
(Domestic Mail Only; No Insurance Coverage Provided)
a
ui For delivery information visit our website at www.usps.comQ,)
, v ,,, i4
ru e. / , , ' -, i
.i.- dr
11.1 Postage $
ru
ktf".
Certified Fee 0
c,
4 c? Postmark Receipt Fee Here
(Endorsement Required)
0 X
Restricted Delivery Fee I— C/3
ED (Endorsement Required)
r- Total Postage & Fees $
ru
_0 ent 7" Pae:r1e..ei(e-
r::l re Apt. No.; , z /
N or PO Box No. / 1 .,
- "..
ci. : e, -4.4 /
_...x , i . if . #
i" , _
PS Form 3800, August 2006 See Reverse for Instructions