38B-002 (7) 3
i _
SENDER: SECTION. DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. 0 Agent
■ Print your name and address on the reverse X - PKAddressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiecie, - c 1-7-22—o(
or on the front if space permits. b
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: ❑No
AJ H` 1�c� 1 /� 3. Service Type
t + ) Certified Mail 13Express Mail
C t 0 0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Nurriber*y, 7 0 0 4 1160 0005 0270 9466
(Nnsfer ifbii7 sere' l,qhel)
PS Form 3811,February 2004 Domestic Return Receipt 102595.02•M-1540