Laserfiche WebLink
<br />--„'"'_ ~ <br />r ~~ <br />u <br />3 <br />I <br />R <br />c <br />z <br />2 <br />z <br />R <br />(- <br />R <br />• SENDER: Compltle items t 2. wItl G. ,} <br />Atltl yol aotlress in the 'Rc~URN TO' apECA on <br />revere. <br /> <br />' <br />T <br />h <br />e <br />1. following service is regtn~ied (fleck one). <br />~ <br />~ <br />/ <br />_~_¢ <br />Show to whom and date delivered........ ' <br />~ <br />y <br />C <br />/~FShow to when, date,and addressddelivery..c.._Q <br />!/^ RESTRICT® DELIVERY 'DELIVERY ' <br />, .... ,-¢ <br />Show to wham and date delivered... <br />. <br />O RESTRICTED DELIVERY <br />Snow to whom, date, and address d delivery. S_ <br />(CONSULT POSTMASTER FOR FEES) <br />2. ARTICLE Aq_ DRE$SEO TO~~ ~+ ~,~r~,,,i <br />' w.r.a <br />N~r~..,~eL .f1tw[C ~ <br />~J~ ,~crV <br />~-';it LC.c-ct (Ertl K~~~ Y <br />3 ARTICLE DESCRIFTION: <br />INSUj~NO <br />CERTIFIED NO <br />REGISTERED NO <br />. <br />. <br />PCB lr9~s~9 .rr <br />(Always obtain signature of addressee err a ent) <br />I have received the article described above. <br />SIGNATURE ^ Addressee '~' Aulnorized agent <br /> <br />DATE OF DEL <br />VERY POSTMARK <br />I <br />_ / <br />5. ADDRES$rCOmoJele only.r reaaesreOJ <br />6 UNABLE TO DELIVER BECAUSE: CLERK'S <br /> INITIALS <br />T <br />P06 ~ `: ~, ~ :~ <br />RECEIPT FOR CERTIFIED MAIL ~ <br />NG INSURANCE COVERAGE PRGVIGEG- a <br />NOT fGR INTERNATIONAL MAIL 3 <br />(See Reverse) ,y, J~ ~,_ _ <br />SENTTO~'fLL(.GLfJU'E.ai.7 lr1,a•sr.Yl, s <br /> STREET.SND NO -~--- - - <br />rv. i~2r,~ ~'a-~-~ <br />1~J c~ <br /> _ <br />Po,ysrATE aIVD ZIP CODE <br /> <br />~ PosrAGE s <br />' LERTIF IED FEE f <br /> SPECIAL OELrv ERY a <br />' RESTPrCTEO DELIVERY <br />~ <br />_ ~ C <br /> w w cHE,y TO WHOM ANp F <br /> ;~ u G:+E DEIIVEgfO <br /> f w "' <br />"' SHOW Ip wwOM OAIE <br /> <br />w <br />~ avr anDHESS Dr c <br /> <br />g <br />a OEI WERv <br /> <br />I <br />~ <br />a <br />W <br />SHOW O wHON arIp C>rE __ <br /> ~ `n m DFUVEREO WITH gESIgICtF ~ <br /> <br />• i o i <br />s DEVVEPY <br /> U <br />~ <br />SHOW TO WnOrA paIE aND -._ <br /> .+DDRE55OE DELIVER+wrtH c <br />~ RESIRICI Ep DE IIVER+ <br /> TOTAL POSTAGE ANp FEES S <br />~ POSTMARK OR DATE <br />~ ,~~~,9 <br />_ <br />i <br />l <br />y <br />a <br />SF.NDEA: ComvlErv EWOI 1, 7, Ena 1. <br />Aaa rem EaaRe ~ d+e "REITJRTI to' EPEn m <br />rw~a <br />l~ The fnUowing mrvlu D regmtted (cllect oD6.) <br />~] Show to whom End dale delivered, ........... _Q <br />^ Show to wham, date and Eddred of dTiiwry_.__Q <br />^ RESTRICTED DCCNERY <br />Show to wham End data deUvered. _. _........_ t <br />^ RESTRICTED DEWERY. <br />Show to whom, date, tmd addces of M.tirery.S <br />(CONSULT Pb$TM A9T}i UR FEES) <br />2 ARTICLE ADOpE¢ED ~'~ / r <br />eat C...~;f ~Jy!' <br />:~. <br />Cl <br />~ <br />l <br />° <br />v <br /> <br />.( <br />(L <br />` <br />:: <br />~ <br />7 <br />~ <br />a <br />Z <br />., ,y5,.. <br />/ <br />~ <br />~I f.' % ~ ~ ~~~ <br />~ <br />1. <br /> <br />~ <br />~ <br />y <br />6 <br />LE OE6CRt~r1DN:'. <br />pEGISTERED NO. I <br />NO. M/RE0 NQ <br />/ <br />J EL ~ %~~~1~~ <br />(AlvrayE obbin EignENra M Edhasr A Eq.ntl <br />1 have reuired the ttUCle de.c:fbed above. <br />61GNATU <br />RE OAaaEnEE <br />nEmorlee .'r <br />O <br />{ <br />` <br />) <br />IQ,r ~ L . <br />t <br />. <br />DATEO EUVERY POiiEEARK <br />6 ADlME6f (Ca.epYr only tl w~Ess6) <br />6. UNABLE TO DELIVER 8ECIUSE~ CLERKS <br /> WITIAL9 <br />x Vra tau-o-c.o~~o~ <br />{70P0: fYNi®iE6 <br />I <br />I <br />P04 -6i.;• 5~~ <br />RECEIPT FOR CERTIFIED MAIL <br />ND INSURANCE COVEAAGE PAGVIOEO- <br />NOT FGfl INTERNATIONAL MAIL <br />(See Reverse) ~., ,, , ' <br />G <br />SENT TO `- <br />C. ,r ? ~ <br />T <br />T AND NO <br />~ <br />S <br />. <br />REE <br />P.O,STA riE AND ZIPC DE <br /> <br />POSTAGE 5 <br /> CERTIFIED FEE E <br />W SPECIAL DELIVERY E <br />c RESTRrCTED CELIVERY s <br />o <br />w <br />,,, <br />SHOW i0 WHOM 4A0 <br />E <br />W <br />H u <br />DATE DEUVf RED <br />f W sHOwrownav DA,E <br />~ ~+ AND a00RESS OE <br />g a OEIIVEFY <br /> o W sHOw ro wHDV FND OarE <br />n ~ m OEUVEREO WIin RESTRIKE E <br />z o ~ OFUVEPY <br />~ SnOw ID WHOM DaiE AND <br /> m aDDRES50E OEUVERr WITH s <br /> RE5I RICTEO pEUYERv <br />TOTAL POSTAGE ANDFEES S <br />POSTMARK <br />OR OAiE <br />// <br />// /~/~ f <br />T <br />C <br />4 <br />6 <br />