Laserfiche WebLink
<br /> <br />" <br />S SEN R: ~ <br />C`.elllp191• IteIN 7 Nd/er Z fIX addidwfd eaniwa. 1 also wish to receive the <br />4 •Camplete items 3, ae, and 4b. fdiowing eeNICBe (tot en <br />g •PriM yoiu name aM edd~ess on Me ~e~wree of t~i• iorm w 7het wa can return ilia BMre }gg~: <br />C <br />Yj Ce'tl to yDU. <br />•Mech this form to the bn'a of the rtuiipisp. ar an the bad <br />it epees Goes ~ <br />1. ^ Addressee's Address <br /> pemut. <br />• Wdte'Retum Reaipf Regveered'on ttq meilpiece bebw the snide number. <br />2. ^ RestdLKad Delivery <br />y <br />§ •ThB Ratum Receipt sill show to whom the Mitle was Galivared end the data <br />delkered. <br />Consult postmaster for tee <br />`o . <br /> 3 <br />ArOCie Addressed to: Article yu~bet <br />4a 7 <br />T9 . <br />`~ <br />~ ~~ <br />. <br />LTi ~ 110 ~ <br />e <br /> , ~ ~ <br />~ <br />~C <br />.Service Type <br />S `~ ' '" `"9' <br />~4 ~ ^ Registered ~Certifled <br />^ Express Meli ^ Irtsured <br />5 <br /> <br />O <br />^ ReNm Receipt for Merrnentise O CAD • <br />$ <br /> ©` <br />Lj( 3 Q 7. Date of Delivery <br /> !D~/o- D~ <br /> 5 clued By' (P nt Neme) 8. Addressee's Address (Onty H requested 5 <br /> e ~ c and ree ~ n&dl ~ <br />9 6. Signature: (Addressee or Agent) . <br />>, <br />al X ~ <br /> pS Form 3817, December 7994 10259S91.e-0179 Domestic Return Receipt <br />