2007, 03-28 Certified Mail ReceiptSENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
A. Signature
B. Received by ( Printed Name)
ZA
❑ Agent
❑ Addressee
C. Dat: of D I very
a 07
D. Is delivery address different from item 1?
Zan Breza
8709 Fast alleyway
Spokane Valley, WA 992123
2. Article Number
(Transfer from service label)
Y
s
If YES, enter delivery address below: ❑ No
Service Type
ertified Mail
❑ Registered
❑ Insured Mail
❑ Express Mail
eturn Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
7006 0810 0003 3881 0816
❑ Yes
PS Form 3811, August 2001
Domestic Return Receipt 102595-01-M-2509
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Val Fite Bari
Mgr: _ie n .ta Griffith
,Lit? r E Sprague - vi', fie. 106
Spokane i- alley 781 9920641 t 24