Laserfiche WebLink
comPLETE rHis smrm COMPLETE THIS SECTION ON DELI VERY <br /> ■ Complete Items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that tare can return the card to you. r = _. - Cl Addressee <br /> ■ Attach this cans to the back of the mailpiece, PD. <br /> Received (Printed Name) C. Date of Delivery <br /> or on the front if space permits. e 4 v — 4 <br /> 1. Articlo Addressed to: iii+ Is de ery address different from Item 17 ❑Yes <br /> ATTN: Mrs.Very!M.Schot.n If YES,enter delivery address below: ❑No <br /> P <br /> 13916 County Road 8 <br /> Fort Lupton,CO:30621 <br /> 3.13 Service Type Signature <br /> ❑Pdodh Mall tS llym S <br /> ❑Adult Signature O Registered MakTM <br /> ❑Adult Signature Restdcted Delivery ❑R Istered Malt Restticte <br /> 0 certified Mail® Del <br /> 9590 9403 0406 5163 0692 67 11 Certified Mall Restricted Delivery Cl Return Receipt for <br /> ❑Collect on Delivery Marchandlea <br /> 2. Article Number(rransfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Conflnrifftlon- <br /> ❑Insured Mall ❑Restricted Delivery <br /> nnion <br /> 1115 0640 0 0 0 4 7321 2 6 0 6 ❑Insured Mall Restricted Delivery <br /> (over$500) _ <br /> PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> -n <br /> � Certiied M 1 fee <br /> m <br /> r. s <br /> rvces -eas brw.eWleeaeeoproprlaro) <br /> �- ❑R.Mn tiecetpt lhadcoPfrl �1-,-- <br /> ❑beam Receipt(deetronb} 'S.,. Postmark <br /> O ❑Cerr tloa Men Fioetrkied oahwy �! Here <br /> Q ❑Adak Slgneaae Regvted S! <br /> ❑AduR 6ipnaa.e Restcloled De�or�t'...__. <br /> � Posffigo <br /> T <br /> O ToW o.tageantl •�-8�i, <br /> o $13916 County Read 8 ----------------ii' <br /> Fort Lupton,CO 30621 <br />