Laserfiche WebLink
m SENDER: I also wish to receive the <br />O <br />e .CamWere Xeme,and/or2 for eddltbrul aervlcea. <br />.Complete ipms 3, ~a, eM ~D. IollOWin serVICB9 ror an <br />g ( <br /> • Petit your name end eddreae on Ne reveres of mL^ loan eo slat wV mn reNm tlse Bxtre fee): <br /> raN b you <br />• Attach rhb Cann to the Irom of Ibe meilplace, or on V+e EscY II apace does nol <br />7. (] AddIBSSee'S AddfCSa <br />I <br /> ppeermX <br />• W me 'Rehm Rxslpt Repuested on the mallpleu below he ertltle number. <br />2. ^ Nesldcted DBl)very t <br />• • tl~eeve ~m Receipt wN show b wham the amide was d9e~eretl and ap 0em Consult postmaster for fee, jy <br /> 3. Article Addressed b: 4a,ArrlGe Number ~ Ci O O~ ? <br />3 <br />' <br /> 4b <br />$eryice Type ~ <br /> {kf~ ~ <br />W V` s t r ~.G ~ [. <br />W . <br />^ Registered ~CertiRed <br /> n <br />VI ~ G . `~ . ~~~ <br />^ E>~resa Mail ^ Insured a <br />~ . <br /> ~ <br />C+ ^ Reltnm Reosipt fw Merd4~i+dise ^ COD ~ <br /> ~ C ~ <br />~ <br />~O7'~ f D iv <br />7 <br />D <br />t o <br /> . <br />e o <br />a <br /> J S <br /> Prin(Nan+ <br />5. er(el 8. Addres e's Address (Only i/ requested Y <br /> ~ <br />~' <br />\\ /\ Ii\` end !ae is paid) <br /> 8. S'I~aaNre:'(Add/aec@e or Ap ~ <br />~ <br />0 <br />>" -- <br /> <br />. <br />P; <br /> <br /> <br />eceipt <br />~_ <br />p ~t'~6'1~t0 ~3 Wt' qq vl~,, <br />P 436 ?gJ~~3 , GLILN <br />US Postal Service ~ ~~ ` ~ <br />Receipt for Certifie Maf p <br />No Insurance Coverage ?rovided. (~ <br />Do not use for Intemadonal Mail See arse <br />C <br />0 <br />C <br />V <br />G <br />+~ <br />Sena <br /> <br />Srae18 Number C <br />G ~ <br />P t ce, Sate, 8 ZIP C <br />I <br />, <br /> <br />Postage ~ <br />~ 6+ n <br /> <br /> <br />Certified Fee ~ ~ ~ Q <br />Spedel De1Nary F ~,y n <br /> <br />ResUieed DeFvery Fee 3~N E <br />C <br />~ Retum Receipt Showing to <br />' ~ U <br />Whom 8 Dam DeGVereO ~ <br />F Relum Recept Slwsipro Kfiur, r <br />• Deb, 8 Ad6esee'sMhess C' <br /> <br />TOTAL Postage 8 Fees <br />I <br />$ _ ~ r <br />~. <br />I Posonark or Dare <br />i <br />i <br />C <br />tU <br /> <br />