CE 1079 Atlantic 2014 SENDER: COMPLETE THIS SECTION COMPLETE THIS,S-FCTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signat -
item 4 if Restricted Delivery is desired. X ❑Agent
• Print your name and address on the reverse ❑ Addreqsee
so that we can return the card to you. B. Receiv d by(Printed Name) C Cat of ve
• Attach this card to the back of the mailpiece, U
or on the front if space permits.
D. Is delivery address different from item 1? e
1. Article Addressed to: If YES,enter delivery address below: ❑ N
3. Service Type
❑Certified Mail ❑Express Mail
❑ Registered ❑Return Receipt for Merchandise
El Insured Mail ❑C.O.D.
/ 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7 013 1710 0002 1,6 91 0124
(transfer from ser..__
PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540