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D. Is delivery address diff&nt from item 19 ❑ Yes
If YES, enter delivery address below: ❑ No
3. SeS ice Type ,
LN' Certified Mail
❑ Express Mail
❑ Registered
❑ Return Receipt for MercN
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Domestic Return Receipt
102595.99-h
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
2.
PS
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signature
❑ Agent
X ❑ Addressee
D. Is delivery address different from item 19 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
ZLa,rttri'ed Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
* Complete teras 1, 2, and 3. °Also complete
A. Received by (Please Print Clearly)
5.,Date of Deliver
item 4 if Restricted Delivery is desired.
5
■ Print your name and address on the reverse
C. Sigrgt sre
so that we can return the card to you.
El Agent
■ Attach this card to the back of the mailpiece,
C1 Addressee
or on the front if space permits.
4Dvery nt from item 1? ❑ Yes
1. Article Addressed to:
�v,YNAI
If YES, enter delivery address below: El No
OZ)`G/�
3. SeS ice Type
L"J Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy ham service raaer�
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789
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