Laserfiche WebLink
ON DELIVERY <br />GOMPLETE THIS –E <br />4'ENDER: COMPLETE THIS SECTION <br />■ Complete Items 1, 2, and 3. Also complete at Sigria <br />Q Agent <br />Item 41f Restricted Delivery is desired. Addressee <br />• Print your name and address on the reverse <br />so that we can return the card to you. I3. e'ved by Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on the front If space permits. <br />D. Is d ivery address different from item 1? ❑ Yes <br />1. Article Addressed to: If YES, enter delivery address below: 0 No <br />AJ C,- U 3. Service Type - <br />0 Certified Mail ❑ Express Mail <br />6 y $ 0 Registered ❑ Return Receipt for Merchandise <br />!� 0 insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) O Yes <br />2. Article Number ?011 0110 0002 10 21, 8 5 2 4 <br />(rmsfor from service fabeQ <br />Domestic Return Receipt <br />102595 -02 -M -1540 <br />PS Form 3811, February 2004 <br />Postal <br />CERTIFIED MAIL,. <br />RECEIPT <br />n-i <br />(Domestic <br />U" <br />CW 806 <br />ru <br />ED <br />Postage <br />$ <br />$0.49 <br />0197 <br />r-q <br />Certified Fee <br />$3.30 <br />29 <br />ni <br />Postmark <br />O <br />E3 <br />Return Receipt Fee <br />(Endorsement Required) <br />$2.70 <br />Here <br />Rest Delivery Fee <br />sem (Endorsement Required) <br />$0,00 <br />173 <br />rq <br />rl <br />Total Postage 8 Fees <br />$6,49 <br />04/17/2014 <br />C3 <br />ra <br />Sent To <br />Jnit _l_ <br />Q1`.° ------ <br />- - -- -- - - a�� <br />a <br />----------- --- - -- --- - - - - -- <br />Street, Apt No.; J <br />or PO Box No J S <br />/� <br />Grp. <br />Cdy, State, <br />-Z-1-P+4 Oj J 1 r" <br />6-6 go ioLl 8 <br />r <br />ON DELIVERY <br />GOMPLETE THIS –E <br />4'ENDER: COMPLETE THIS SECTION <br />■ Complete Items 1, 2, and 3. Also complete at Sigria <br />Q Agent <br />Item 41f Restricted Delivery is desired. Addressee <br />• Print your name and address on the reverse <br />so that we can return the card to you. I3. e'ved by Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on the front If space permits. <br />D. Is d ivery address different from item 1? ❑ Yes <br />1. Article Addressed to: If YES, enter delivery address below: 0 No <br />AJ C,- U 3. Service Type - <br />0 Certified Mail ❑ Express Mail <br />6 y $ 0 Registered ❑ Return Receipt for Merchandise <br />!� 0 insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) O Yes <br />2. Article Number ?011 0110 0002 10 21, 8 5 2 4 <br />(rmsfor from service fabeQ <br />Domestic Return Receipt <br />102595 -02 -M -1540 <br />PS Form 3811, February 2004 <br />