NYC 9/11 Public Portal Document
UPS Postal Service
CERTIFIED MAIL RECEIPT
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postage
C3
m Certified Fee
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m
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
C3 (Fndorsement Required)
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Total Postage & Fees
0
'r Sent To H
Street, Apt.No.; / r•,
O City, Stets, Z(P+ 4
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A. Received by (Please Print Clearly) I B. Delivery
• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse C. Signature
so that we can return the card to you. 0 Agent
• Attach this card to the back of the mailpiece, X 0 Addressee
crnor•on the front if space permits. D. Is delivery address different from Item 1? ❑ Ye—
If YES, enter deliveryaddress below: 0 No
1. Article Addressed to:
Tot , ~1 SBF STD S
~f ►'SEC
CO
NTR C>1
Yo2(', fEP
C,TY DF N=w 3. Se ice Type
Certified Mail 0 Express Mail
59-17 j tiAJCT(oN ALVA
Registered 0 Return Receipt for Merchandise
SI o7
C,o" JA, AIY i i 3 b ~- 0 Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Nur`
7001 1940 0004 3130 9578
Domestic Return Receipt 102595-99-M-1789
PS Form 3811, July 1999
NYC-WTC 000106328
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