705 Atlantic Blvd 2013 CE . SECTION . DELIVERY
COMPLETE
■ Complete items 1,2,and 3.Also complete A. 4S'lgature ;'
item 4 if Restricted Delivery is desired. E3 Ad�
■ Print your name and address on the reverse Aildr�ssee
so that we can return the card to you. B. Received (Printed Name) al' ry
■ Attach this card to the back of the mailpiece,
or on the front if space permits. S U^4
14/ � ]t
D. Is delivery address different from item 1? Yes
1. Article Addressed to: if YES,enter delivery address below: ❑ No
se'd V
3. Service Type
�7 ❑Certified Mail ❑ Express Mail
❑Registered ❑Return Receipt for Merchandise
❑insured Mail [3C.O.D.
4. Restricted Delivery?(Extra Fee) [3 Yes
2. Article Number 701 1 2000 0 0 0 21` 7111
(transfer from sery
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540