Laserfiche WebLink
° <br />®1 . ,17 46P.HAUlf'li <br />W. . @ - rcU.u—. <br />M <br />i A <br />. n <br />M <br />Er <br />° <br />-$0.66 <br />Postage: <br />9__$3.10 <br />E3 <br />° <br />Retui Certified Fee: <br />(Endorserr Return Receipt Fee: <br />` <br />S, 0 $2.55 <br />° <br />° <br />Restnctec <br />(Endorsem <br />Total Postage &Fees: <br />$6.31 <br />° <br />Total Postage & Fees $ <br />Sent To <br />�? <br />° <br />- ?� s! ---------------------------------°------------ <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, Z(P +4 <br />■ Complete items 1, 2, and 3. Also complete <br />A. <br />item 4 if Restricted Delivery is desired. X <br />■ Print your name and address on the reverse C <br />so that we can return the card Lrmnailpiece, B. Received�Y ( Printed Name) �/ <br />■ Attach this card to the back of ( VnOVan C&k. `L or on the front if space permits <br />D. Is delivery address different from item 1? <br />If YES, enter delivery address below: <br />Agent <br />❑ Addressee <br />Da of D every <br />' 2L f 1 3 <br />1. Article Addressed to: <br />ene- <br />X002 k <br />❑ Yes <br />❑ No <br />3. Se ce Type <br />(Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑Yes <br />2. Article Number 7010 1060 0001 0936 6330 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />gay -/3 <br />v <br />(0 <br />—0 <br />SI-02, <br />