Laserfiche WebLink
fA I9`763--03-1 <br /> cc I-� i`�c Ma I — W r�cu2 C cum el re j e-c:4-- <br /> y <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. i ❑Agent <br /> X <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Received by Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, ``l r <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> 3^ <br /> Enrique Topacio <br /> American Contractors Indemnity Company <br /> 601 S. Figueroa Street Suite 1600 vice LOS Angeles, Ca 90017 "Ceertifiypa <br /> rtified Mall ❑Express Mall <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 012 3460 0000 6384 8 413 <br /> (Transfer from service label) <br /> t PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> Postal <br /> CERTIFIED MAIL,,, RECEIPT <br /> m (Domestic Mail Only, .•. <br /> ra <br /> For delivery information visit our website at www.usps.corn-� <br /> Co <br /> m Postage: $0.48 <br /> `0 Certified Fee: 43.30 <br /> a Return Receipt Fee: �D;'t$2.70 <br /> p Retun <br /> C3 (EndorseM <br /> o RestdccedTotal Postage & Fees: $6.48 <br /> (Endorseme <br /> O <br /> = Total Postage&Fees <br /> m <br /> ru Enrique Topacio <br /> o American Contractors Indemnity Company <br /> f` 601 S. Figueroa Street Suite 1600 <br /> Los Angeles, Ca 90017 <br />