Laserfiche WebLink
Certified Mail Receipts <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3. A. SigZ"4_1 <br /> t <br /> ■ Print your name and address on the reverse X C �- 0 Agent <br /> ddressee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, B by(Printed ) C. 1�t��Delivery <br /> or on the front if space permits. �[ <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: �5wo <br /> Mr.Jor&C.and Jode L. Burdick <br /> 2707 Cie Road <br /> Loveland,CO 80538 <br /> 3. Service Type ❑Priority Mail Express@ <br /> II I IIIIII IIII III I II I II III I III II III II II III III ❑Adult Signature ❑Registered Mail <br /> ❑AdultSignature Restricted Delivery ❑ Restricted <br /> Mail Restricted <br /> 15Kertified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> 9590 9402 2543 6306 1351 58 ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from Service labeo ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2140 0000 2345 8025 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> o RECEIPT <br /> Lril CERTIFIED <br /> rjj Domestic Mail Only <br /> C3 <br /> co For delivery information,visit our website at www.uslos.com'. <br /> Certified Mail Fee' <br /> m <br /> ti Extra Postage: $0�460 <br /> C3 On <br /> C3 ❑w Certified Fee: 3.�50 <br /> C3 0; Return Receipt Fee: $2.750 <br /> ❑A <br /> C3 Posts <br /> Total Postage and Fees: $6.56 <br /> rq <br /> nJ Total Postage an Fae• <br /> $ <br /> Sent TO <br /> C3 StreefendApElVo.,aj01 Mr.Jordan C.and Jone L. Burdick <br /> We; lP+d+"------- 2707 Glade Road <br /> Loveland,CO 80538 <br />