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41-009 (18)
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3. Also complete A. Sit nature item 4 if Restricted Delivery is desired. 0 Agent • Print your name and address on the reverse X s, ! : L 0 Addressee so that we can return the card to you. g.! by (Printed Name) Date of Delivery • Attach this card to the back of the mailgiece� - // - 70 or on the front if space permits. I// 1, Article Addressed to: D. Is delivery address different from item i D Yes If YES, enter delivery address below: 0 No D&i4.-cot 01671_ r ,,4 9 / ©/ 3 Service T ✓ 0 Certified Mail 0 Express Mail 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. ArticleNum( 7006 2760 0005 2243 7553 (Transfer froi PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540