Laserfiche WebLink
<br />d SENDER: <br />v Complete items 1 ardor 2 for additional serricea. 19150 wish t0 feCeiVB 1hB <br />N •Compete items 3. 4a, end 4b. follOWing SBNiCBS (fOf an <br />H • Print your name and address on the reverse al this lortn so that we can rdum this <br />card to you BXtrB fBB <br />~ <br />rd <br />Y . <br />•Aaemc'this form to the honl of the mailpiece, or on the barJc it spem tloea nd ~, ^ Addressee's Address <br /> <br />m •Wrile'Refum Recei IR uesled'on the mail lace below the art <br />p eQ v icle number. <br />2. ^ Restdded Delivery ~ <br />to <br />tL, <br />u •ThB Retum Receipt vnll show to whom the aditle was delivered and the dale <br />delivered. <br />Consult postmaster for fee. <br />n _ 3. Article Add: <br />~` <br />d 4a. Article Number <br />1q ~R8 5~3 ems, <br />E <br />~ , <br />Cy J1Q~,f\~ ~~ C~ b. Service Type <br />Registered ~ Certified <br /> <br />~t-~ Q~ (, <br />I <br />~-I <br />Express Mail ~ , , ^ Insured rn <br /> v <br />~ <br />`-' <br />_ ^ Retum Receipt for Merch~dise ^ COD <br /> r~ <br />~-'~ <br />~U 7 <br />D <br />t <br />f7 <br />D <br />t <br />f D <br />li <br />G <br />a <br />= e <br />D~ . <br />a <br />a <br />~9ry <br />e o <br />. <br />e o <br />e <br />i ~ <br />~ <br /> f i. <br /> 5. Received By: (Pdnt Name) 8. Addressee Addre~ i/requested ~ <br /> ie and !ee is p ~dJ c <br />g 6. Signature: (Addressee r gent) C~ <br />r <br /> <br />W Ps Xrm 3811, December tss ~ Domestic Return Receipt <br />v <br />D c -- - <br />Z 191 5~8 e5~8~R~ <br />Postal Service File #i11- <br />Iceipt for Certified Maf <br />'nsurance Coverage Provided. <br /> ostage _ti <br /> rsfietl Fee m °-.+a <br /> ad Ddirery Fea J v <br /> ResVirSad Derrery Fe9 v ~''1 N j ` <br /> Relum Reaipl showny ro ~' <br /> When 8 Dde De6rersd <br /> Realm RSCe41 $howigm Whom, <br />_ Date, 8 Addeaee's ACdass <br /> TOTAL Podepa 8 Fees a <br />Posbnerk or Date <br />a <br />