Laserfiche WebLink
iii ~iiiiu~uiu iii <br />999 <br />No. ~ly,;;~r;h <br />RECEIPT FOR CERTIFIED MAIL <br />Ng INSURANCE CUYERAGE PkUYIOEtf-- <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />ANO ZIP fAOE ~~ ~ , <br />~1~~~17, r b <br />vwiAr:E r __ __ <br />- T $ <br /> __ <br />CERn FIEO FEE Q <br />W Tc <br />CIAL OELIVERr <br />W <br />~ <br />- Q <br /> <br />~ ~ <br />RESTRICiEO OELIVERV <br /> <br />_ _ __ <br />C <br />o _ _ _ <br /> w <br />~ <br />= <br />s47w ro wxorn RNC oRrl <br /> ~> r oE~:EREO a <br />H <br />~ y Or <br />W W <br />f h H , 547W r0 W47a. 7AIF. RYO <br />i <br />H ~ a A]CRrSS CF CiJJ[Rr 6 <br />o <br />ZW _ _ <br />~ ~ ~ u SNCW 10 WHOM EHC CAT <br /> d ~ C[ mEREO WIr4 RISiRIO[0 6 <br />w o m CEl'+f ar <br />°I ~l acon <br />ss <br />~~~i <br />~e+ <br />° <br />no <br /> r <br />c <br />u <br />r <br />, C <br /> ~ RESFILT[C CLbERr <br />~_ TOTAL POSTAG~E 'AJND FEES I $~1G _, <br />a POSIIA N Ryw~{ l - <br />Q ~` ~. <br />- ~n, 7 <br />E I/\\i ~ Sc~~~\ <br />\ s7 / <br />r. ~ - <br />°1 ~ aENOE R. Complete Items I. 2, antl 3 <br />q Ado your etltlreas m the "RETURN TO" space on <br />3 reverse. <br /> <br />= t. The folrowing service is requested (check one). <br />S ^ Show tr~vfiom and date delivered... ..... _¢ <br /> ^ Show to whom, date, and address of delivery..-¢ <br /> <br />V ^ RESTRICTED DELIVERY <br /> Show to whom and date delivered ..... 1. ~,¢ <br />^ RESTRICTED DELIVERY , 1 ~ ~~ <br />A Show to whom <br />date, and address of deh~Y S <br />m <br />~ , <br />(CONSULT POSTMASTER FOR FEES) <br />c <br />Z 2. ARTI~LE ADDRESSED TO: <br />~ <br />m _ // -- <br />,~ <br />~r'C c~L(~r~ <br /> ~ <br />~ <br /> <br /> <br /> <br />p 3. ARTICLE DESCRIPTION: <br />~ REGISTERED NO. CERTIFIED NO. INSURED NO. <br /> 19oak <br />~ <br />ti , <br />a (always obtain signature w sddrassee tx agent) <br />m <br />o <br />I hav ecelved aRicle descri a <br />Z SIG ATURE ^ Addressee Authorized agent <br />N <br />I <br />~ <br />m ~C <br />a <br />G DAT OF DELIVERY P(A3jMARK <br />D <br />~ A ,.5 <br />,~ .. LfJ <br />r 5 ADDRES$fCompNite only it ra¢uesretl) °r <br /> <br />D ,+ <br />T <br />'p 6. UNABLE TO DELIVER BECAUSE: ', <br />K S <br /> <br />D S <br />~ <br />S <br /> C <br />r ~~ <br />4GYU' 1977-" "1BaK1 <br />