SIGNED CERT. MAIL FORM FOR 162 1/2 NORTH STREET t' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Sign. re / .-7
• Print your name and address on the reverse X , 1-- - ❑Agent
socan return the card to you. ❑Addressee
p. Date of reliv-ry
■ Attach this card to the back of the mailpiece, B ceiveI
or on the front if space permits. J • v . /6 /I
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
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3. Service Type CIPriority Mail Express®
I Ill 11 III II I II I II 11 11111111 o Adult Signature ID Registered Mail'""
❑Adult Signature Restricted Delivery 0 Registered Mail Restricted
❑Certified Mail® Delivery
9590 9402 1868 6104 9580 40 ❑Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Ransfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmationT"'
sured Mail 0 Signature Confirmation
7 017 1450 0001 5936 4364 sured Mail Restricted Delivery Restricted Delivery
, , ver$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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