Laserfiche WebLink
• 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 />Mr. Robert Warneke <br />Natural Soda, Inc. <br />3200 C R 31 <br />Rifle, CO 81650 <br />199c — 05 1 <br />Nlc-I' (- Ac.cc---, P-- CS <br />Redea5-e- Crib <br />A. Signature <br />W Agent <br />X �j M�NIQ ❑ Addressee <br />5. Received by (Printed Name) 41 C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 5I No <br />3. Service Type <br />ArCertified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 012 3460 0 0 0 0 6385 0 8 2 9 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />ti (Domestic Mail Only; <br />Co <br />O For delivery information visit our website at www.usps.coma -7 <br />cc <br />M - <br />`0 Postage: �� $1.19 <br />C3 Certified Fee: � $1.1 <br />C3 <br />(EndclReturn Receipt Fee: <br />$2.70 <br />Res <br />C:l (End,Total Postage & Fees: $7.19 <br />..D <br />.=" Total Postage "es I <br />m r._ <br />ti Sent To Mr. Robert Mrheke <br />O Street, <br />Natural Soda, Inc. ---------------------- <br />r` °`Po Box No. <br />3200 CR 31 <br />City State, ZIP +4 - ---°----------- ------ -- <br />Rifle, CO 81650 J�ffllgm RIM" <br />WOM <br />