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ul Certified Mail Fee
3 $ ''`r1
Extra Services&Fees(check box,add fee as appropriate) ;i Q !
o ❑Return Receipt(hardcopy) $ ? �f
3 ❑Return Receipt(electronic) $ - POStmafk Qn
❑Certified Mail Restricted Delivery $ Here
C3 ❑Adult Signature Required $ yl,��! f•t$ �V
❑Adutt Signature Restricted Delivery$ q,.a COO f� r
O Postage lA\s fA/
O $ f'
Total Postage and Fees env
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I 0 5'treet aid Apt.N PO Box, - -- - ----------------------------
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Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
m A unique identifier for your mailpiece. associate for assistance.To`feceive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service'" Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders. Adult signature service,which requires the
■You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Maile service. Adult signature restricted delivery service,which
■Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
e Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
in For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mallpiece; IMPORTANT:Save this receipt for your records
Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047
01 :COMPLETE THIS SECTION ON'DELIVER
■ Complete items 1,2,and 3. A. Signatur
N Print your name and address on the reverse X ^y""
so that we can return the card to you. ❑Addressee
s Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date 7elivery
or on the front if space permits. O`'
1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes
- If YES,enter delivery address below: ❑No
111111111 Jill 111111111111111111111111111111111 3. Service Type ❑Priority Mail xpress(�
S
Sign ure ❑Registered Mail-
ature Restricted Delivery ❑Registered Mail Restricted
ery
9590 9402 3630 7305 4651 63 ❑Certified Mail Restricted Delivery ElRetu Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT
insured Mail ❑Signature Confirmation
7 017 10 0 0 '0 0 0 6 7 5 7 13 O I7 insured Mail Restricted Delivery Restricted Delivery
\.1 (over$500)
PS Form 381 ,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
LISPS TRgC(WG#. _
First=Glass Mail
`Postage&Fees Paid '
USPS
Permit No.G-10
I �P 9,4.02 3630 7305 4651 63
I ,
Unitea States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal.Service
TOWN O 13ARNSTAELE
BUILDING DIVISION
200 MAIN ST
HYANNIS, MA 02601
G
d1'1��11 1111i1i,1�'i�er111111111111dilt1,1111111111111'11i'1Jill