Laserfiche WebLink
" - 2-010 — UK) <br />■ Complete items 1, 2, and 3. Also complete <br />A. Signatur <br />item 4 if Restricted Delivery is desired. <br />" <br />X 0 Agent <br />■ Print your name and address on the reverse <br />0 Addressee <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />B. t�X ted Name) C. Date of Delivery <br />or on the front if space permits. <br />�G/ 1/fNt� <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />l C�VVIOis l V g) (, Lj <br />Certified Mail 0 Express Mail <br />Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7011 3500 0002 9607 6971 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />r <br />Er <br />tti <br />O <br />-11 Postage $ <br />Er <br />ru <br />o postage: <br />E3 Certified Fee: $2.7046ra <br />o Return Receipt Fee: <br />C3 $6.90 <br />m Total postage & Fees: <br />a - T`1 t1 k lo'^ -^'e5 "hjv`ef ti�dr . , ' �t�Y1oi,LLC <br />Q Street, Apt. No.; i V 1 <br />N or PO Box No. - l-- -- � 1'tG R H ------------------------ <br />Ciry, State, ZIP +4 <br />1 aV'Am , CC) I b� <br />