2019-08-07_REVISION - M1977342 - Laserfiche WebLink

Home Browse Search

Postal CERTIFIED o RECEIPT �o Domestic Mail Only m aFordelivery information.visit our website at www.usps.com'. 3F 1777 Ili L. MCertified Mail Fee m $ Extra Services&Fees(check box,add fee as appro ate) ❑Return Recelpt(hardcopy) C3 [:1 Return Receipt(electronic) $ (/j Postmark C] ❑Certified Mail Restricted Delivery $ /�/ Here (:3 ❑Adult Signature Required ❑Adult Signature Restricted Delivery$ S O= Postage G J -n $ Total Postage and Fees $ !, Sent To rZI y t� J ----------A- ^ j0 f haoX n e Street /dA L - - ------------------------------------------ te City----I----P+4'------------------------------------'------------------------------ O Isle Co PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions e COMPLETE SECTIONCOMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse L ❑Agent so that we can return the card to you. '' � ❑Addressee B�- eceived by(Printed Name) C. Date of DepveF ■ Attach this card to the back of the mailpiece, ) or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 111 11 Yes If YES,enter delivery address below: ❑ No i I I'I�II IlII ICI(II I I I' I I IIII�II II I III II I I 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 3814 8032 9946 29 ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery Signature Confirmation T" 2. Article Number(transfer from service label) i:::l Insured Mail D signature Confirmation 7 5 0640 0 6 3835 1348 �Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt