Laserfiche WebLink
M 19W. _ CU 't <br />M cu, I <br />• Complete items 1, 2, and 3. Also complete A. Signatur <br />item 4 if Restricted Delivery is desired. ❑ q <br />• Print your name and address on the reverse Addressee <br />so that we can return the card to you, ceived Printed Name) C. Date o■ Attach this card to the back of the mailpiece, a Y` or on the front if space permits. <br />1. Article Addressed to: D. )s A ivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Kym A. Schure <br />12826 CR 37 <br />3. Service Type <br />Sterling, CO 80751 <br />❑ Certified Mail 0 Express Mail <br />13 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3462 2000 6385 11942 <br />(rransfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 <br />Postal <br />(Domestic CERTIFIED MAILT. RECEIPT <br />ru - urance coverage Provided) <br />117 <br />r-1 <br />tr1 <br />CID $1l ,40 <br />� $3,30 <br />C3 Postage: $2.10 <br />d Fee: <br />C3 Rs Certifie t Fee: <br />C3 (Endorse Return Receip <br />Restricte Fees <br />otal . r 's <br />(Endorser <br />T Postage r, <br />Total Pos ees <br />M <br />r1J Sent To <br />,� Kym A. Schure `"i <br />--------------- - - - - -- p n ----- __--- _ ______ <br />[O orPO,Apt.No.; 12826 CR 37 <br />or PO Box No <br />City State, ZIP +4 <br />Sterling, CO 80751 ----- -------------- <br />