SENDER: COMPLETE THiS SEcTtoN

T Complete items 1, 2, and 3. Also complete

item 4 if Restricted Delivery is desired. [1 Agent
I Print your name and address on the reverse
so that we can return the card to you. Date of Delivery
T Attach this card to the back of the mailpiece,
or on the front if space permits.
D. ls delivery address different from item 1? Yes
1. Article Addressed to: lf YES, enter delivery address below: EI No

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3. ServiceType
Ltvtstrytktr 4*qci E Certified Mail E
ElrRegistered E
Express Mail
Return Receipt for Merchandise
E lnsured Mail El o.o.D.
4. Restricted Delivery? (Ertra Fee) E yes

2. Article Number
(Transfer from service label)

PS Form 381 1, February 2004 Domestic Return Receipt 1 02595-02-M-154r

UrurEo SrnrEsr PogrnuSERtvtcE ri,' : FirstClass Mail
Postage & Fees Paid

t r,: j,it,.,.., :.,,. ilil USPS

Permit No. G-10

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' Sender: Please print your name, address, and ZIP+4 in this box '
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