2013-02-18_PERMIT FILE - M2012050 (2)

Home Browse Search

• Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mallpiece, or on the front if space permits. 1. Article Addressed to: f6i a ry t re G. B x Z3 �iR C- / +. n C_ C) , A. Signature X T Agent �1 �/ f� Address4 B. R e ved Printed Name) C. Dat a If 7ve D. Is delivery address different from item 1? Ye If YES, enter delivery address below: 9 N 3. Se3Ace Type Iff Certified Mail ❑ Express Mail ❑ Registered XRetum Receipt for Merchandh ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 91 7108 2133 3939 2944 1980 (transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -tE • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mallpiece, or on the front if space permits. 1. Article Addressed to: A. 3. e '� Mail ress Mail • Regist Return Receipt for Merchandi: • Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number- (rransfer from service label) 91 7108 2133 3939 317 9 5705 PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M-1: U Agent ❑ Address, B. Received by ( Printed me) G Date of Delive D. Is delivery different from 1? ❑ Yes If Y efir nter tie dress below: ❑ No _-; ---... 3. e '� Mail ress Mail • Regist Return Receipt for Merchandi: • Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number- (rransfer from service label) 91 7108 2133 3939 317 9 5705 PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M-1: