Free Affidavit - District Court of Delaware - Delaware

W Case1:O5-cv—OO853-SLR Document 4-3 Fi|ed12/19/2005 Page10f2 ‘

Case 1:05-cv—00853-SLR Document 4-3 Filed 12/19/2005 Page 2 of 2
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I Complete items 1 , 2, and 3. Also complete A
Item 4 if Restricted Delivery is desired. ` m Cl Agent
I Print your name and address on the reverse ily; El Addressee
sothatwecanretumthecardtoyou. · .,;_.;, , . ;_ _ ·
I Attach this card to the back of the mailpiece, gw of DGAAVW
or on the front if space pennits. A ,· (Y _ _
. _ " D. lsdellveryaddress dilferentfmmltem 17 U Yes A
'· A'"°'°A°d"°°°°“ *°· ir vas, enter delivery address below; El No {
Universal Avionics Systems . E
3260 E. Universal Way ·
Tucson, Arizona 85,706
3. ServiceType A
' D Certilied Mail E] Express Mall
Q Registered U Retum Receipt for Merchandise
El insured Mall El G.O.D.
41 Restricted DeIivery?,A(Extza Fee) Q Yes
2. Artlc|eNumber
fréihom .HD RA122365527US

PS Form 3811, February 2004 Domestic Retum Receipt rcesss-uz-msao