Page 1
Ç ) 4,j1 o b-: (/)3 rR ¯ L 4tig, Pf. UU N Certified Mail Fee 7m L1) $ \ i'Extra Services & Fees (check box, add fee pçeete) Return Receipt (hardcopy) $ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 Return Receipt (electronic) $ U v-UU - Postmark C rUed Marl Restricted Det my $ it III Adult Signature Required S _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Adult Signature Restricted Delivery $ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Postage \ \ / .4 rR otaIPope and Fees u- J Street anO Apt. No. or PO BOX No. '-i' rr- City, tate. ZIP+45 V) kL(b$ 9(1 DOck2