Laserfiche WebLink
°o SENDER: <br />o •^ rotate ileme 7 anNor 21w eddtiorrel eervicae. I also wish to receive the <br />e , xme nem. 3, Ia, and ID. t0110wing SBfVIC95 (!O( en <br />m :l,..d your name end edtlrase on me reverse at tlris form eo met we ran velum Chia extra }ee): <br />P card to you. <br />•Attach mie roan to the from or me meiipiea, a on dre bark Ir apace does nM <br />t. O Addressee's Address <br />~ permit. <br />•wmewenrm Reaelpt Requesred•on the malpiece Uelow me enitle namher. <br />2. ^ Restricted Delivery <br />$ •The Relum Receipt win show to whom W enltle was delivered end me date <br />~ aeiivarad. Consult postmaster for tae. <br />o <br />3. Article Addressed. to: _ <br />4a. ANcle Number ~' <br /> <br />°~ 4b. Service Type m <br /> ~ <br />m° Q`._ ^ Registered Certified <br />•' cGV I~ e <br />br ~ s• ~ ^ Express Mail O Insured <br />.~: A a <br />~tl~/ ~ 804 ^ ReNm Receipt for Metdlandise ^ CAD c <br />••"-I~ 7. Date of Delivery i rj a o <br />>w <br />5, Received By: (Pdnl Name) 8. Addressee's A dress (Only r7 requested ~ <br />~Gcl2 ~l / l~ 'vr,-2Y end lee is paid) <br />g 6. Signs e: (Addresse or Agent) <br />r <br />PS Form 3811, D ember 1994 X025959]-B-at]9 Domestic Return Receipt <br />P 436 7$98 FAG <br /> <br />C <br />0 <br />r <br />i <br />L <br />us Postal service Fj(~ # K - <br />Receipt for Certtfie <br />No Insurance Coverage Provided. <br />lM not use for IntemaGonal Mail See reverse <br />Sent (o <br />Slreel8 Num <br />S <br />P m, State, 6 ZI Cade <br />0 <br />Postage <br />Certified Fea / Q <br />Spedel Delivery Fee y a <br />Restricted Delivery F ,r. ~, <br />~ Retum Rxapt <br />' 1Yhorri 8 Dale DBliv o ~. ~ <br />ReWrnflxegi $ho+ig <br />Dae,BMaesseeY v7 <br /> <br />i TDTAI Passage 8 Fees <br />1 '--7 <br />/ / <br />r PostrnerN Or Date <br />i <br />1 <br />