- SENDER: COMPLETE THIS SECTION
• Complete items 1,2, and 3.
- Also comple’te
A.
- Signature
/ 7/
item 4 if Restricted Delivery is desired.
- B.
- Received by(Pnnte,Name) C.
- Date of Delivery
• Attach this card to the back of the mailpiece,
—
—/
or on the front if space permits. (Extra Fee) C Yes
I
2. Article Number-
I
(T?ansfer from service label)
7011 0110 0001 8270 4162
PS Form 381 1, February 2004 Domestic Return Receipt
102595-02-M-1 540
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2, and 3. Also complete
item 4 ifRestricted Delivery is desired. • Attach this card to the back of the mailpiece,
or on the front ifspace permits....