HomeMy WebLinkAboutCertified Mail Return Card 9-18■ 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 mailpie e,
mor' n the front if space permits.
1. Ala Addressed to:
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111111111111111111111111111111II II1 II III III III
9590 9402 15251 9154 9366 59
2. Article Number (Transfer from service label)
7019 0140 0000 9523
PS Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D.. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
Domestic Return Receipt
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MailTm
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
PoCertified WHO
Delivery
❑ Certified Mail Restricted Delivery
d ReturnReceipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
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❑ Signature Confirmation
5497
Restricted Delivery
Restricted Delivery
Domestic Return Receipt