Laserfiche WebLink
Complete items 1, 2, and 3. Also complete <br />A. Signature <br />item 4 if Restricted Delivery.is desired. <br />X ❑ Agent <br />Print your name and address on the reverse <br />w. ❑ Addressee <br />so that we can return the Card to you. <br />R ived b�,/('Prrinqt/ed Name) C. Dapl-r ery <br />Attach this card to the back of the mailpiece, <br />I y�5 — <br />or on the front if space permits. <br />D. Is delivery address different from item 19. ❑ Yes <br />Article Addressed to: <br />If YES, enter delivery address below- ❑ No <br />o <br />`; i : �;' .i ) ✓ �% <br />3. Service Type <br />i� �� ; <br />ed Mails ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />'_ 5 =._ ___- .. =_c. --• -- -• .:.tom- ri' T.^,.�i7lj� <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />Article Number ❑13 01 <br />723[ 7456- <br />(TiansferfiomservY-''- '7[]y4 182-0 _� <br />_ _ -•- - - -- <br />3 Form 3811, Jul,.-- u - ' ' ' - Domestic Return Receipt <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 />r � <br />� <br />A. S' re <br />X> <br />B. Received by <br />D. Is delivery address did <br />If YES, enter delivery <br />(� E3 Agent <br />�{ ❑ Addressee <br />nom, (' I C., Date of Delivery <br />n item 1? ❑ Yes <br />below: ❑ No <br />3. Type <br />ed Mail* 0 Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Deliver/? (Extra Fee) ❑ Yes <br />2. Article Number 701,4 1820 0001 7236 7500 <br />� (fiansfer from service lab <br />Ps Form 3811, July 2013 Domestic Return Receipt <br />rq�_- .....- ..- .._.- ......_ _._...e.- ..- -' ___..__ -._ <br />Ln <br />L!--CT SL 1 t rl 01?C+5 <br />- - =- <br />' <br />-- - -- - -- <br />rn- <br />-.: -- - -- - -- - - - == -- - <br />ru <br />0764 <br />-- <br />o <br />° 43 <br />'_ 5 =._ ___- .. =_c. --• -- -• .:.tom- ri' T.^,.�i7lj� <br />,�3 -- ,. <br />. - -- <br />7 <br />