CE 13-377 97 LEVY SENDER: • SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete Items 1,2,and 3.Also complete ❑Agent
`
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Recelved by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the maiiplece,
or on the front if space permits. 'Pa. 14
D. Is delivery address different from Rem 1? ❑Yes
1. Article Addressed to: if YES,enter delivery address below: ❑No
3. Service Type
❑Certified Mail C7 i wess Man
❑Registered ❑`Return Receipt for Merchandise
**7 J ❑Insured Mail 13 C.O.D.
4. Res (Sutra Ase)Delivery? Fee) ❑Yes
2. Article Number 7 012 2 210 0001 1385 1066
(Transfer from servile labeq
Ps Form 3811,February 2004 Domestic Return Receipt 102595-M-M-tsao
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