Laserfiche WebLink
ft�A t- <br />M 1c, <br />Cer�- � -FiEcl ("lcx.� I <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 />L-i )Cb y) cc h`�-t� <br />r l� y 31 <br />liv in -,C6 V &) <br />A. ; gnature <br />X \ 4 Agent <br />.< ->` F�.�'k._ -Lt._� E3 Addressee <br />B. RQceived by (Printed Name) C. Date of elivery <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: i Jo <br />3. Service Type <br />rtifled Mall E3 Express Mail <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6384 8352 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -102 -M -15d I <br />ru • <br />Lin <br />M <br />CO <br />-:r- <br />CO <br />m Postage 1 $ <br />Postage: <br />C3 $3.30 <br />C3 Returt <br />E3 `ertlfled Fee: p r <br />(Endorsem� � �O <br />M RestnctedReturn Receipt Fee: <br />(Endorsemf <br />� <br />Total Postage & Fees: $6 8 <br />= Total Pos - -. <br />M <br />Sent To <br />"'0� ?�`�111Cl�flil_�r_ <br />Street, Apt. No.; <br />C3 or PO Box No. <br />State. ZIP +4 ----- ---- ---------- ----- - <br />City <br />� (O �� <br />PS Form 3800, August 2006 See Reverse for InstrucCiorK1111111 <br />