Laserfiche WebLink
• Complete Items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />6 D-3 <br />F CCU. <br />A. Signature <br />Agent <br />5. Recelved by (Printed Name) C. Date of Delive <br />D. Is delivery address different from item 1 ❑Yes <br />If YES, enter delivery address below: ❑ No <br />10 <br />3. Service Type <br />Er6ertifled Mail Express Mail <br />13 Registered gRetum Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 0 0 2 9 4111 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Mum Receipt <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />jiv -5 e1� ().'( L &f- , I' <br />/✓iC_ i'L' ce- (I rr; <br />4, 4 - S '2— R - ;� 36 — <br />C1' T�10, C Cx <br />Z0 — 9 45' <br />102595- 02 -M -1; <br />A. Signature <br />' Z "' , ❑ Agent <br />_ C � ?�✓' ACddressE <br />B. Received by (Prin a me) C. Date of Delive: <br />D. Is delivery address different from item 1? ❑ Yes . <br />If YES, enter delivery address below: .❑°No <br />3. Service Type <br />CrCertified Mail ❑ ress Mail <br />❑ Registered Retum Receipt for Merchandis <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number 91 7108 2133 3939 2944 1928 <br />(Transfer from service label) <br />❑ Yes <br />DS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -15 <br />