Document MmV31O8MdNnV7jLLzZ72eMky
PS Form 3811, Aug. 1978
0 SENDER: Complete items 1,2, and 3.
Add your address in the "RETURN TO" spaces i _
___________________ reverse.___________________________________________
1. The following service is requested (check one). J3# Show to whom and date delivered.................... ..........4 | | Show to whom, date, and address of delivery4 RESTRICTED DELIVERY Show to whom and date delivered.................... ..........4
RESTRICTED DELIV^ftY.
;
Show to whom, idflte, andhiddress of delivery . 4.
(CONSULT POSTMASTER FOR FEES)
2. ARTICLE ADDRESSED TO:
LO o-
OfPA
3. ARTICLE DESCRIPTION:
REGISTERED NO.
CERTIFIED NO.
INSURED NO.
(Alwyy obtain tiqnatUK of ddr--ofgut)
RETURN RECEIPT. REGISTERED, INSURED AND CERTIFIED M AIL
DTH 000089401
fr GPQ! J97R-272-3M
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name, address, and ZIP Code in the space below. Complete items 1,2, and 3 on the reverse. Attach to front of article if space permits. Otherwise affix to back of article. Endorse article "Return Receipt Requested" adja-
_______ cent to number.__________________________________
RETURN
TO
PENALTY FOR PRIVATE USE TO AVOID PAYMENT
OF POSTAGE. $300
DTH 000089402
* L YV\ ,
P.0,
(Name of Sender)
(W 9/
(Street or P. O. Box)
& be rc/e e n W5
(City. State, and ZW Code)
SSI SO