HomeMy WebLinkAboutCertified Mail Returned■ Complete items 1, 2, and 3.
■ 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:
MS. Knnn\rf7 MID is
42b6 SW QS", XY-e
MirAnnwrf'�� 3301q -211S
111111111 Ilii 1111111111111111111111 ill l 111 III
9590 9402 5251 9154 9372 12
7019 0140 0000 9523 4513
PS Form 3811, July 2015 PSN 7530-02-000-9053
a. aignaiure
X Agent
❑ Addressee
B. Received jy (Printed Name) C. Date of Delivery
D. Is deliv addri�ss iff�repUtYo17 iter s 1? Yes
If YES nter delivery address below: No
SEP 16 2019
HEALTH DEPT.
3. Service Type
❑ Priority Mail Express(g)
❑ Adult Signature
❑ Registered MailTM
Aduk Signature Restricted Delivery
11Registered Mail Restricted
F1Crertified MaI3
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
El Signature ConfirmationTM
❑ I'nsured Mal
O Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
(over $500) -
- -
Domestic Return Receipt