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UNITEO STATES POSTAL SENVICE � I <br /> OFFICIAL BUSINESS � <br /> � � 1 � � � <br /> SENDENINSTRUCTIONS � <br /> Flnt yaur n�m�.WEnu�nd ZIP Cod� � <br /> In tM tp�e�bNow. A�� <br /> • CompNnlbm�1.2.7.�n01onth� N 1 3 jqC[� u <br /> nvMN. -O <br /> • An.ce �o hon� or .n�U. ie .we. ......................... . <br /> pwmtlb othwwh� �HIR ta h�ck of '^^�-• <br /> �nitN. C�TY QF ........' ...�"'- PENAL SE,�f3001VATE <br /> • Eneon� �nleb "P�wrn R�edpt EVERE.. <br /> RpuntW"WNe�nt ro numba. PUbIiC WOfkS Depf. <br /> V <br /> '� RETURN Print SenEer's neme, aEdrass,rnd ZIP Code in t�e spece below. <br /> � TO » <br /> ti /JI �J.t=N% P�6✓ /3G D G /N SP D/rr <br /> � 3?0� GCDfI�2 S� <br /> ` tc✓Eft �TT w✓� 9f's� ol <br /> P 459 380 317 <br /> RECEIPT FOR CERTIFIEO MAIL <br /> Noixsua�NCE cov�nncE vAawr.to <br /> NOi fOP INLfNNA110N0.L N4il <br /> (See Rnverse) <br /> � Senl to <br /> o c HAcc <br /> � d' $trecl and No <br /> 'U O 1 .S .�' <br /> u P O..Stale nnd 21P Cotle �, o <br /> �? � / = L "T 1�'� <br /> N <br /> � Posta9e 5 <br /> Ceridied Fee <br /> Spec�al Dehvery Fee <br /> Resinctetl Debrery Fec <br /> ReWm Rece�p�s�owin9 <br /> tn wnom ana Date Deirvcred <br /> N <br /> a Rewrn Receipl showmg�o whom. <br /> Datr,;mG Aedrese.ot Delrvery <br /> C <br /> � TOT�L PoS�age,nG FeeS 5 <br /> i <br /> � PaSimark ot Da�e , <br /> E ? • SENDER: Camplate items 1 en� Y when eAdHlonel nervices ere tle�ired, end com0�ero hem� <br /> 3 end 4. <br /> J � �� �� p�t your address in the"RETURN TO"Space on ihe reversa aide.Feilure to do this will prevant ihia card <br /> ii fmm heing retumed ta you.The reWm recei [lee will rovide au tha name ol tha oerson delivered to end <br /> y t�he A ta_ol deLver .For ed ibone ees t e o owmB serv¢es era evai e e. onsu t poelmeater o�e <br /> a end check oa es ar additional sorvitxlsl reQuestetl. <br /> —"--- � 1. ❑ Show to whom deliverad,dete,and eddrocsee'e eAdroas. 2. ❑ Re�tricted Detivery <br /> lEnm charRtl • (E�rm dw:gr) <br /> 3. Article Addressed to: 4. Article Number <br /> � y�-9 �o � <br /> mR pouA� o N�7< < T pe oi Sarvice: <br /> � Repbtered ❑ ImunO � <br /> Soo y7rr ST Sr �cemrisa Ocoo �� <br /> 9&'�0 3 EKpress Moll ❑jor�M R�otli�. <br /> cv4,¢ r,T wn <br /> Alweye obuin�ign�turo of ed0ro�� <br /> or egenl�nd DATE DELIVERED. <br /> ' nature —Ad essee 6 8. Addressee'e Addrese (ONLY if <br /> X h, rcqursred and frr pnidl <br /> 8. Sign ure — ent .d� <br /> X " �l°�'' � <br /> 7. Dete o( Delivery � Q <br /> J� <br /> PS Form 3871, Apr. 1989 • . .� eats DOMESTIC RETURN RECEIPT <br />