Laserfiche WebLink
M -Hc64 -10 I <br />Ce��-i �ieci <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 />A. <br />MCL, 1 <br />❑ Agent <br />❑ Addressee <br />by (Printe Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br /><5 , QW -6 <br />3. Se Type <br />Q"Certlfied Mail ❑ Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. (trans rfrom 7010 1060 0001 0936 1984 <br />(Transfer from service /abeQ _ 19-84------ _ <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />to ...ill 5[:7/[s�,n weU)I119gF.LrK l�lrl'L JY -l.[ ld[.1 %111�U!_ <br />Er <br />For delivery information visit our website at www.usps.com,& <br />M <br />o <br />Postage: <br />8 $0. 6 <br />o <br />Certified Fee: <br />Return Receipt Fee: <br />$3.8 <br />$2.55 <br />C3 <br />C3 <br />(I Total Postage & Fees: <br />$6.51 <br />`3 <br />O <br />Total Postage & Fees <br />r-i <br />Sent To I <br />O <br />Street, Apt No.; <br />or PO Box No. <br />- <br />Cry,State, ZtP +4 CE�' <br />v` <br />Form 00 August 2o06 See <br />Reverse <br />102595 -02 -M -1540 <br />