25-026 (9) +ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse XAtka.'�-ti - 0 Address
atiAllent
so that we can return the card to you.
B. Received by(Printed Name) C.are of O=Ives
• Attach this card to the back of the mailpiece,or on the front if space permits. n, • ;�, ;,„ Y 2 •
1. Article Addressed to: D. Is delivery .ress different from Item 1? 0 es
If YES,enter delivery address below: p No
arc taiti ovaf-h i a
/Jo r f Iii mpfOk. 1110
3. Type 0 Prity Mall Express®
11111111111 I I I I I I I I I I I III I I I III I ❑Adult❑Adult SiCeignatu►e Restricted Delivery Signature 0 CIegiste Reg glred Mallistered Mail Restric
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❑Certified Mail® Delivery
9590 9402 1770 6074 1587 81 ❑Certified Mall Rester Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service/abep ❑Collect on Delivery Restricted Delivery Cl Signature Confirmation
—'nsured Mail 0 Signature Confirmation
7 016 3560 0000 1918 7363 n Mail Restricted Delivery Restricted Delivery
PS Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receic
USPS TRACKING# "C 4
First-Class Mail
i�I'ii''. II I! I ' MI v6 L Permit No.G-10
9590 9402 1770 6074 1587 81
United States •Sender:Please print your name,address,and ZIP+4®in this box
Postal Service
CITY OP NORTHAMPTON
DEPT OF E'.."" i3dQ Intl.C.711ONS
212 PItSTREET
NOR'1 HAV—T'OtN,Mr.ot0s0
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