Laserfiche WebLink
r <br /> r <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signa <br /> llre■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑ dslressee <br /> ■ Attach this card to the back of the mailpiece, Recei rinted Name) C. Date of Delivery <br /> or on the front if space permits. Wisd.liverny <br /> CAL �-- - J a��1. Article Addressed to: address different from Rem 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Mr. Gary W. Pollack <br /> 11415 Palomar St. <br /> Spring Hill,FL 34609 <br /> II I IIIIII IIII I'I I II II'I II I II I II I III( I I I III III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> U1 Certified Mad® Delivery <br /> 9590 9402 3488 7275 7563 38 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> _ ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation ! <br /> 7 01,6 2 71,0 0000 296.5 3 4 7 2 Q�OVur der 0)I Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> ru .. <br /> rti • <br /> m <br /> -0 Certified Mad Fee )' <br /> Er $ 2A <br /> nj Extra Services&Fees(check box,add ice i s <br /> C3 ❑Return Receipt(hardtop» $ <br /> O ❑Return Receipt(electronic) $__—.—_— Postmark <br /> O ❑Certifled Mall Reatncted Delivery $ Here <br /> C3 ❑Adult Signature Required $_ <br /> El Adult Slgnature Restricted Delivery$ <br /> 0 Postage. <br /> rq $ I <br /> rU Total Postage and Fees <br /> $ <br /> Sent Ti <br /> ra Mr. Gary W. Pollack -------------------------------------- <br /> -Street 11415 Palomar St. <br /> cliy s Spring Hill,FL 34609 <br /> ,, <br />