Laserfiche WebLink
Wkc- <br />'��l <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 />CDV <br />CO 1 60 <br />A. Signature ` <br />❑Agent <br />/ <br />X, 01ti/l f i �i/., �i ✓� ❑ Addressee <br />B. `Received bV-(f inted Name) I C. Dat t u ive <br />D. Is delivery address different from item V ❑ <br />El Yes <br />No <br />If YES, enter delivery address below: <br />3. Se e Type <br />Iff Certified Mail® <br />❑ Priority Mail Express" <br />❑ Registered <br />❑ Return Receipt for Merchandise <br />❑ Insured Mail <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 0150 0000 91, 3 8 2760 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />U.S. Postal ServiceTM RECEIPT <br />CERTIFIED MAILT. <br />(Domestic <br />ru a �t A 1 <br />rr Postage: C, MA FIN 69 <br />Certified Fee: ocb p <br />c Return Receipt Fee: v , $ <br />�^ostmark <br />Total Postage & Fees r o $ Here <br />(Endorsement Required) <br />ul <br />Total Postage & Fees <br />M <br />Sent To <br />Y-- �.....� �nnJ--------------------------------- - - - - -- <br />- -- - - <br />O Street, Apt. No.; /1 .1 /� <br />r� or PO Box No. A40. --A �A�%NK ------ <br />.... <br />City State, ZIP +4 I <br />M <br />