Laserfiche WebLink
Postal <br /> CERTIFIED m <br /> o RECEIPT <br /> o Domestic Mail Only <br /> g .. <br /> rU Certified Mall Fee <br /> 7 $ <br /> Extra Services&Fees(check box,add fee as appropriate) <br /> ❑Return Receipt(hardcopy) $ 'y <br /> p ❑Return Receipt(electronic) $ <br /> Postmark I <br /> 0 ❑AdulCartt ad Mail Restricted Delivery $ Here ,' <br /> Adult Signature Required $ ^�1 <br /> Ej Adult Signature Restricted Delivery$ <br /> Postage <br /> (�( Total Postage and Fees <br /> Er $ <br /> UER- <br /> I� Street n t Np�or P Blrz No.l 0{Rh1/Vq <br /> City,St to P+4® -_--`---------------------------------------------- <br /> 92 <br /> SEWER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse // ❑Agent <br /> so that we can return the card to you. t` ❑Addressee <br /> B. <br /> ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. Y�'h (,tltt <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> [,Its If YES,enter delivery address below: ❑No <br /> �® B0?C l 4 0 <br /> 6 (,J4t Co 8f�b2 <br /> I I I�III II I III I IIIIIII II� I I II I I I I 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature El Registered MaiIT'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mailo Delivery <br /> 9590 9402 5439 9189 5024 50 ❑Certified Mail Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signature Confirmation <br /> T" <br /> I Insured Mail ❑Signature Confirmation <br /> isured Mail Restricted Delivery Restricted Delivery <br /> 7019 2970 0000 4427 7803 )ver$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />