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 cans to you. <br />■ Attach this card to the back of the mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />1�e5A Gr- �lel Canse�va��o <br />A. Signature <br />X ❑ Agent <br />❑ Addressee ' <br />B. Received by (Printed Name) C. Date of Delivery I <br />D. Is delivery address different from item l? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />I <br />I <br />I <br />3. Service Type <br />& Certified Mali ❑ Express Mail <br />❑ Registered E3 Return Receipt for Merchandise j <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service labeq <br />I; PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15401 <br />CO <br />r- <br />t-n <br />r- <br />ru <br />M <br />M <br />CO <br />C3 <br />C3 <br />C3 <br />C3 <br />C3 <br />.A <br />M <br />ru <br />rq <br />C3 <br />r- <br />"�� uri <br />t.n <br />.�� r.- <br />(ti <br />1_ For delivery information visit our <br />.� ICIAL <br />website at www.usps.com <br />USE <br />m <br />ru <br />M <br />��. CO <br />M <br />to <br />Postage <br />$ <br />= C3 <br />C3 <br />C3 <br />C3 <br />CertUied Fee <br />Postmark <br />0 <br />C3 <br />Return Receipt Fee <br />(Endorsement Required) <br />Here <br />o <br />p <br />p <br />Restricted Delivery Fee <br />(Endorsement Required) <br />~^ <br />m <br />m <br />Total Postage & Fees <br />$ <br />u <br />u <br />ent o /� � <br />t � -- (2aaw-02f ?4n -- <br />Street t No.; <br />C3 <br />r- <br />C3 <br />r`- <br />or PO Box No. OoZ <br />Q� <br />' , <br />---------- ---- <br />----- -----°-- <br />�,� �a�, Zr�.< reel <br />....J.: <br />00 l^ y <br />PS Forin 3800, ALIgust 2006 <br />See Reverse for Instructions <br />