Laserfiche WebLink
N SENDER: <br />3# .CompMe a.ms 1 anNor 21a sddr•wvl eencea. <br />e • Complete hems 3, aa, and 4D. <br />„ •PriM your name end address an ere reverse of this brm ao that we can reum 1Ns <br />Gard 10 yOU. <br />•A11ach Ilse brtn ro the Wool of the rneilpiece, a on the Back i(apace dose oat <br />permit. <br />e eWdfe'Return Aeceipt Ropuesred' on the ma7piece below the article number. <br />t~, .The Relun Receipt will show to wiwm ere aside was delivered and the tlale <br />C delivered. <br />0 <br />~ 3. Article Addressed to: <br />a 171 "~~ !>~ ~I /Il.~' . <br />~ rTIQZa~ f~~~l`~'~~na.~`~4 <br />o~ ~ l~5 <br />'D~F, ~4 81o1`tL0 <br />5. Received By: (Print Name) <br />r- <br />5 6. Signatur : ,~ ddresseee~,4gentJ~ <br />w <br />PS Form 3811, Decemberi99l <br />O1 <br />`e <br />e <br />0 <br />0 <br />r7 <br />C <br />1L <br />C <br />I also wish to receive the <br />folbwing services (for an ' <br />extra fee{: ~ <br /> <br />1. ~ Addressee's Adi'.?es>, Y <br />Z <br />2. d flestricted Delivery ~ in <br />Consult postinaster for fee. <br />9 <br />~be9~ <br />a <br />IPe ~ <br /> <br />^ Registered Certified ~ <br />^ Express Mail ^ insured rA <br /> <br />^ Retum Receipt fa Merchandse ^ COD e <br />7. Date of Delivery <br />~~ as- g~ a <br />8. Addressee's Address (Only it reglrested ~ <br />and lee is paid) t° <br /> r- <br />~z 4L6 942 2R <br />Receipt r ~, P~ <br />Cart' ~ <br />No Insuranqq~R,,,~C~v a Provit~ <br />~~~ Do not u~V~6t International A6SJ <br />. ISee Reversal,.... _ n <br />Semi ~• ~/"'s / "" "" <br />2kk ow <br />5,.¢e~b ~ /~S <br />P D ~'~~~X ` C'D ~/ado <br />Postage <br />Cemuetl Fee <br /> C <br />Soec~ai Deav Fee <br />Pesir'[s¢0 el,v Y F <br />b R <br /> <br />n R <br />nn <br />R <br />~ C <br />C <br />m <br />e <br />e <br />~o Wnom a De~ d <br />Reims Rece, '~ <br />Dale. an0 AtlUr '' ~ U <br />TOTAL Postage ~ ~ <br />8 Fees ~ <br />Postmark or Dale ~ <br /> C <br /> <br /> <br /> <br />t <br />7 <br />1K <br />_J <br />