complete item 4 if Restricted Delivery is desired.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
4.
Restricted Delivery? (Extra Fee) 0 Yes
/ / “B.
Received by (Prid’ am ) C. Date of Delivery
hQ i I. D. Is delivery addresy tfothit&l?\0 Yes YES, If enter dp1Iv?y ss w: Lt No MAY 16 2013 2. Article Number (Transferfromsewice label) 7011 0110 0001 8270 4056 PS Form 3811, February 2004 Domestic Return Receipt 1 02595-02-M-1 540
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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