Laserfiche WebLink
~ a - ~~~- <br />• ~ <br />~p SENDER: I also wish to receive the <br />p • Complete Items [end/or 3 for sdtlitionel aervicec. <br />• Complete name 3, end ea a b. following Services {for an extra ~ <br />• Print your name end etltlrass on the revarae of this farm co that wa can feel: ,2 <br />~ return this certl to you. p <br />` • Anech this form to the Iront of the meilpiece. or on the beck it apace 1. ^ Addressee's Address <br />p does not permit. rn <br />• Write "fletur Receiptflequeeted'onthe meilpiece bBlow Ma article number. O <br />• The ReturnR ceipt will show to whom the ertick was deliveretl and the date 2, ~ Restricted Delivery m l <br />!~ delivered. Consult postmaster for ee. o <br />'O 3. Article ddressed to: a. Article Number <br />'° ANN, c.~~~,lerk. v-4~.e~cds-r' 3 ~~1 ~i~ l <br />~p Q (1-"~..~ I ~. 4b. Service Type p <br />r ~-v lJL ^ Registered ~ Insured <br />~~{.-lam ~" ~r-D nDi ~ ertitied ~'-~ COD <br />R~~ p~f~ ~xpress Mail ~'Q Return Receipt for ~ <br />•EEj~~',r-(`E erchandise <br />7. Date ~6f elivery <br />5. Signature (Addressee) 8. Addressee'C Address {Only if requested y I <br />and Lee-is paid) ~ 1r <br />L <br />6., Signature IAgentl , ~-~--~- ~/ ~I/ ~ _ ~ <br />PS Form :Itll 1, DecBmber 1991 eu.B. oPO: <br />