Laserfiche WebLink
• Complete items 1, 2, and 3. Also complete A. <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. g <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. <br />1. Article Addressed to: _ <br />rr 0� <br />C Co. <br />r" <br />R)SZV- --7y1 0 <br />2. Article Number <br />(rransfer from service label) <br />PS Form 3811, February 2004 <br />❑ Agent <br />` ❑Address <br />Div by (Frihted Na,ne L. C. Data o Deliy <br />Is delivery address different from item 1? nyes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />irCertified Mail �❑rF.xpress Mail <br />❑ Registered �J Retum Receipt for Merchandi: <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />91 7108 2133 3939 0029 4109 <br />Domestic Return Receipt 102595.02 -M -1f <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 />r, <br />4,2.,4- - 3-- P&' <br />C / , 4'46 >7, C-0. <br />q-5. <br />A. Signature <br />U Agent <br />X ❑ Addresse <br />B. Rgceived by (Printed Name) C.rDate of Del ivei <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />lZbertified Mail ❑3 Ept�ss Mail <br />13 Registered etum Receipt for Merchandis <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 91 7108 2133 3939 2944 1935 <br />(ranter from service label <br />�S Form 3811, February 2004 Domestic Return Receipt 102595-02 -M -15 <br />