Laserfiche WebLink
Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />I Print your name and address on the reverse <br />so that we can return the card to you. <br />a Attach this card to the back of the mailpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />C), Hose /0 f <br />C PC)Ct- cq- ���� co . <br />IU75 <br />A. SignaVre <br />X <br />J'� ❑ Agent <br />' l &Addressi <br />B. R ived by ( Printed e) C. Date of Delive <br />D. Tess fferent from item 1? ❑ Yes <br />91,enter de �9' ddress below: E No <br />w "'`� a" <br />3. Se ce Ve '! <br />LN Certified Mail 0-1fiKpress Mail <br />❑ Registered V Return Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ' <br />(rransfer from service label) 91 7108 2133 3939 0 0 2 9 118S <br />PS Form 3811, February 2004 Domestic Retum Receipt 102595-02 -M -15 <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 maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />lam` C) . <br />2. Article Number <br />(rransfer from service label) <br />3S Form 3811, February 2004 <br />A. SI na <br />❑ Agent <br />X <br />❑ Address <br />Receiv nnted Name) <br />D to of Delive <br />r- J4/YLt <br />p. Is delivery address different from item 1? ❑ Yes <br />'1f YES, enter delivery address below: ❑ No <br />3. Se �e Type <br />Certifled Mail ❑ press Mail <br />❑ Registered W Return Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />91 7108 2133 3939 0029 4154 <br />Domestic Return Receipt <br />102595-02 -M-15 <br />