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<br />~~ <br /> <br />.Il <br /> <br />~~ <br /> <br />Street · C <br /> <br />+ <br /> <br />P 289 b35 593 <br /> <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for Intemational Mail See reverse <br />Sent to <br /> <br /> <br />Mr. & <br />Street & ~be.r. <br />H))j Revoir <br />Post Office, Slate, & ZIP Code <br />Centerville <br /> <br />rd <br /> <br />Street <br /> <br />MN 550 <br /> <br />Postage <br /> <br />$ <br /> <br />Certified Fee <br /> <br />Special Delivery Fee <br /> <br />Restricted Delivery Fee <br /> <br /> <br />I() <br />m Retum Receipt Showing to <br />Whom & Date Delivered <br />.~ Return Receipt Showing to Whom, <br />c( Date, & Addressee's Address <br />ci <br />g TOTAL Postage & Fees $ <br /> <br />C") Postmark or Date <br />E <br />& <br />en <br />ll. <br /> <br />- - - - - <br />Fold at line over top of envelope to <br />the right of the"rettlm address <br /> <br />T <br /> <br />SENDER: I also wish to receive the <br />-Complete ilems 1 and/or 2 for additional services. <br />. Complete items 3, 4a, and 4b. following services (for an <br />· Print your name and address on the reverse of this form so that we can return this extra fee): <br />card to you. <br />· Anach this fonn to the front of the mailpiece, or on the back if space does not 1. 0 Addressee's Address <br />permit. 2. Qf Restricted Delivery <br />· Write 'Return Receipt Requested' on the mailpiece below the article number. <br />· The Retum Receipt will show to whom the article was delivered and the date <br />delivered. Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number <br /> p 289 635 593 <br />Hr. & Mrs. Barry Brainard 4b. Service Type <br />1853 Revoir Street o Registered /Xl Certified <br />Centerville, NN 55038 o Express Mail 0 Insured <br /> 12!1 Return Receipt for Merchandise o COD <br /> 7. Date of Delivery <br />5. Received By: (Print Name) B. Addressee's Address (Only if requested <br /> and fee is paid) <br />6. Signature: (Addressee or Agent) <br />X <br /> <br />(', <br />Gl <br />"C <br />'iii <br />Gl <br />III <br />lii <br />> <br />Gl <br />~ <br />Gl <br />oS <br />c:: <br />o <br />"C <br />Gl <br />Gi <br />a. <br />E <br />o <br />CJ <br />en <br />en <br />w <br />II: <br />o <br />o <br />c( <br />Z <br />II: <br />::l <br />I- <br />W <br />II: <br />... <br />:J <br />o <br />>- <br />.!!!. <br />PS Form 3811, December 1994 <br /> <br />DomestiC Return Receipt <br /> <br />Ii <br />u <br />'~ <br />Gl <br />en <br />.. <br />D- <br />'i <br />u <br />Gl <br />II: <br />c: <br />... <br />:J <br />.. <br />Gl <br />II: <br />Cl <br />c:: <br />'iij <br />:J <br />~ <br />o <br />- <br />:J <br />o <br />>- <br />..ll: <br />c: <br />III <br />.c: <br />I- <br />