Laserfiche WebLink
ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse ElAgent <br /> so that we can return the card to you. X f Z / ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, ceived by(Printed Na C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Artick - D. Is delive ❑Yes <br /> If YES,enter delivery address below: p No <br /> Jack Clark, Jr. NOV 2 2 2G!q <br /> P. O. Box 767 DIVISION ilverton, CO 81433 CL-AQ4TION <br /> 3. Service Type ❑Priority Mail Express® <br /> I'I' ICI II I II II' I I III I III IIII III ❑Adult Signature ❑Registered Mail <br /> TM <br /> ❑Adult Signature Restricted Delivery ❑ Restricted <br /> Mail Restricted <br /> 111 Certified Maile Delivery <br /> 9590 9402 3488 7275 7568 57 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 Confirmation— <br /> ^ Mail ❑Signature Confirmation <br /> 7018 2290 0001 8923 4718 Mail Restricted Delivery Restricted Delivery <br /> i00) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />