Laserfiche WebLink
~, <br />~„~ P 436..98,5 326 m <br />~ US Postal Service ~ <br />N <br />~ Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />U Do no <br />t <br />use fo <br />r Intematio <br />nal Mail See re <br /> + <br />~ <br />l <br />n <br /> <br />~ Street r 'n ` <br />~ ~ <br />C (o IN <br />R <br />0 P Olfrs, Ie,BZIP otle 0~~~~ <br />~ Postage <br />N <br />E Certified Fea <br />Q Spada) pail E , <br />Relum <br />I TOTAL Poslaga 8 FdnS~~ 7 G 0 <br />V <br />~ll <br />d SENDER: I also wish to receive the <br /> <br />H • Complete items 1 and/or 21or adtlitional services. <br />• Complete items 3, da, antl 4b. folOWtn sdrviCeS IOf an <br />g <br />H • Pnnl your name and adoress on the reverse of Ihrs lorm so that we can return IMS extra fee): ; <br /> <br />m cartl to you. <br />• Anach this form to the Iront of the meilpiece, or on the back it space does not <br />i <br />1. ^ Addressee's Address a <br />° <br /> perm <br />t. <br />.Write 'Aelum Aeceipl Aequesletl'on the mailpiece below <br />the article number <br />2. ^ Restricted Delivery m <br />w <br />y • The Return ReceiDl will show to Whom the article was tlelrveretl antl the dale <br />Consul) postmaster for fee <br />$ <br /> delwered. . <br />0 <br /> <br />9 3. Article Addressed to: 4a. Article N um er <br />3~ <br />~ <br />' <br /> ~A <br />Q <br />~ <br />~ ~ <br />S <br />3 <br /> <br />d <br />a -.d~,~ <br />~° <br />t <br />~ <br /> <br />4b. Service Type <br /> <br />~ <br /> ~(p <br />~ 6(p <br />3l D ~ ^ )e 'Certified <br /> ~ <br /> <br />~re_,e1~e,, Co ~D6~! ss 'I ^ Insured <br /> <br />elurn Rece' chandise ^ COD °_ <br />` <br />fe <br />° <br /> (~ <br /> Z ., f~Y ° <br /> 3 ~ <br /> 5. Received By: (Print Name) ssee' d ss (Only it requested : <br /> e ~ <br />ra <br /> L <br /> -6. Signature: (Addressee or Agenf):.• ~ <br /> <br />