HomeMy WebLinkAboutHDC2010-017 Certified Mail ReceiptUNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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■ 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.
Ir Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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❑ Agent
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ddressee
B. eceive by ( Printed Name) C ate of Delivery
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
Servlce Type
Certified Mail ❑ Express Mail
Q Registered 5LRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
■ 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:
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❑ Agent
❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered 5ZLRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes 1 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 2. Article Number
(Transfer from service /a 7 010 18 7 0 0001 212 5 1842 % Yj 7 (transfer from service label)7 010 18 7 0 (] 01 212 5 18 7 3 j
PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154(
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■ 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.
11 Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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C. Date of Delivery
D. Is delivery
1? ❑ Yes
If YES, ent
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3 , fee Type
JV,Certified Mail
❑ Express Mail
❑ Registered
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❑ Insured Mail
❑ C.O.D.
- 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 910 1870 0001 2125 18 6 6
(Transferfrom service labeo
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ 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:
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A. X 5ignatu� �
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eceived b Anted Name) C. ate of Deli ry
D. Is delivery address different from item 1? A.Yes
If YES, enter delivery address below3��-
3. Servlce Type
�( Certified Mail ❑ Express Mail
❑ Registered XRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number -3 n-I n -i a j n n n n-1 :3 n m r_ i n n n