HomeMy WebLinkAbout00001610 (2)■ Complete items 1, 2, and 3. Also complete
A. S gnature
item 4 if Restricted Delivery is desired.
X Pqi5
❑ Agent
■ Print your name and address on the reverse
❑ Addressi.
so that we can return the card to you.
B. Received by (FYinfed N e)
C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front H space permits.
--
- c
1. Article Atldressetl
D. Is delivery address different from rtem 17
❑ Yes
to:
If YES, emer delivery address below:
❑ No
Mousan Bishay
503 E. 114" Street
Carmel, IN 46032
00001610 lyd
3. Service Type
R(Certised Mail ❑ Express Mail
❑ Registered ❑ Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.O.
4. Restricted De very? (Exec Fee) ❑ Yes
2. /rbfartmcle 7002 2030 0004 3376 9927
(fiarrsfer from service (abeq _
PS Form 3811, February 2004 Domestic Return Receipt 102s9w2+n1540