Laserfiche WebLink
• Complete items 1 and/or 2 for additional services. I also wish to receive the <br />• Complete items 3--an~4a & b. - ...rte following services (for an extra <br />• Print your name and address on the reverse of~ihi5 form so {ee): ' <br />that we can return this card to you. ~~-.~- .-~ _ <br />• Attach this form to the front of the mailpiece, or on the 1. ^ Addressee's,~Address <br />back if space does not permit. - ~ - <br />• Write "Return Receipt Requested" on theTtfailp~Ce next to 2. ^ Restricted Delivery <br />the article number. -~ Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number <br />~Q -8~~s-436 -7LS <br />~ ~ Service Type <br />/~ gistered ^ Insured <br />~v ~ ~~ <br />ified ^ COD <br />c` ^ ~ss Mail ^ Return Receipt for <br />OGtiffl 7 Merchandise <br />~~., ~~~ ~ of Delivery <br />'s Address (Only if request~a , <br />paid) <br />w <br />6. Signature (Agent) <br />, October t sso du.s. aro: tuu~ztaaet DOMESTIC RETURN RECEIPT <br />P $7$ 436 725 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSOPANCE COVEMGE FNOVIDEO <br />NOi FOP INTEPNATIONRL MALL <br />ISee Reversel <br />N <br />m <br />m <br />d <br />c <br />Om <br />b <br />E <br />0 <br />N <br />a <br />Sem to `/ / <br />Street and No. <br />P O . Slay nd ZI C <br />ll~~i~s <br />Postage 5 <br />CedJietl Fee / <br />Special Delivery Fee <br />Resrcicted Delivery Fee <br />Return Receipt Showing <br />to whom and Dade Delivereo / <br />Return Rece~pl 1o wNOm. <br />Date. and pjY rv <br />TOTAL s e and~e 0 r~'~ <br />d <br />Ppslm k r D ~ ' <br />,... <br />