ature SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY I Received by (Printed Name) C.
Date of Delivery
• Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
• Attach this card to the back of the mailpiece,
or on the front ifspace permits.
4. Restricted Delivery? (Extra Fee) C Yes
2. Article Number (rransfer from se,vice label) 7011 0110 0001 8270 4575 PS Form 3811, February 2004 Domestic Return Receipt lO2595-O2-M-1 C Agent C Addressee
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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