Laserfiche WebLink
1 <br />I Postage <br />~ CertlLeU Fee <br />Return Receipt Fce <br />IEneorsemem Rppunee) <br />ResvicleU Delivery Fee <br />IEnnprsemenl gegmree) <br />Total Poslaga 8 Fees <br />t02595~99~M-1]e9 <br />I. . <br />Print Clearly) Y ~~~~~ <br />^ gent <br />- Addresser <br />Herenl lmm Item t? ^ Yes <br />' address below ^ No <br />rail ^ Express Mail <br />~~Relurn Receipt for Me¢handtse <br />-~ <br />Domestic Return R¢cetpt [02595-99-M-I]89 <br />• • • <br />• Please P ' t Clearly) B. Date of Delivery •' • Please Print Clearly) B. Date of De^^livel <br />`~ ~ ~ / L' <br />CRF ^ Agent ' I' _ / Agent <br />F` ^ Addressee ~ ~ Postage $ • PK Cp' : ~ •. l ~Addresse <br />. Postage S ~ ~ ~ I~ ~ ' ~ ress diHereN fmm item 1? ^ Yes <br />I d dMereh fmm item 1? ^Ves o' lc <br />een~lrea Fee ~ ! O j~`A ~ tlelivery adtlress below: ^ No i ~ cendree Fee 1~ , ~ V ~ ielivery address below: ^ No <br />Reurn Receipt Fee ~tmnrx C Rewm Reca~pl F=^. r S~ ~ ~•~~ O <br />(Eneprsement RequircUl ~r~ (/ ere -0 S (Eneorsemenl Regwrae) <br />sus L~ ~ r ~ <br />Restnctetl Defvary Fee O Resmiclee Delivery Fes C <br />(Eneorsemenl Regwretll I O IEntlgrsemenl Ren~nretll 2 ' II s V <br />Total Postage 8 Fees $ ~.~~ e ~ Total Posla9n 8 Fees ~ 3 • ~ '"f 1 <br />O <br />Recipients Name (Please Pnnl Cleatlv) Ilp De comp/efetl Dy r Ipr) Mail ^ E%pfe55 Mad -0 pecrprenYs Nom (Please Pri I Cle rl pp be rpmpleled Dv nra le 1 ail ^ E%preas Mail <br />rn~__~011. ~__-11US ed elurn Receipt for Memhandise ~ ~ ~N~- ~ -- ~--~-- - ---- - --'-' O eturn Rec pfor Merchandrs <br />Ply f1 ne ~ ~ ypJXyF~~1 "~{/~~~~ '~jC E'KS ei t <br />Slrpr'~Q! No o PO pnx NO ~`~~ .._ Mail LJ 1..~. D. i ~ SUeet Apf No o PO Bpx NO -- - C.O.D. <br />CaM1q~.~hS o i o ~ O 5 very? !Extra Fee) ^ Yes <br />-~.-.. 01J Jalive Extra Fee <br />1 r-U <br />Cny Stara ZIPI< --~~-- -- ~ rv ( ~ ^Ves _ O Cdy 5 ale,ZlP~d' ! - 6 ~ to 35 <br />.._... _. p AV ~ <br />r <br />CRfi1L Cp Slle2S 111 ~11~1~4 ~z(5a' <br />• • ill ~ 111 ~ I • :11 ~• __ <br />Irl' Ilr <br />aS Form 3811 ,July 1999 Domestic Returns ecel 102a9S99~M-1]89 ~ PS Form 3811, July 1999 Domestic Return Receipt [0259599-M-I ]e: <br />NfAH7STUKlaZ m <br />~ /7 <br />~ <br />II m <br />- T- a <br /> r <br />ICIFIC RA!LIiiO~9ent <br />tldressee ~ PgslanP s <br />Tess different tmm item 1? ^Ves ,~ <br />felivery adtlress below: ^ No ~ ren~neu Fee <br /> ~ Return gece,pl Fee <br /> ~ (Endorsemem Renmrecq <br /> D Reslriclee Dellvcry Fx <br /> p IEntlorsemcm Re•queenl <br /> ~ <br /> Total Postage 8 Fees ~j <br /> <br /> <br />flail <br />^ E~ress Mail ~ <br />p Reapi nt's (Please Pi <br /> <br />~ <br />~ ['' 1 <br />" - ~L' <br />i FQ Return Recei t for Merchantlise <br />P <br />rail ^ C.O.D. <br />O <br />0 -- <br />Sr eel. Apl No ~ o. PO Rpr M1 <br />~~ ~ • .~-x .~ <br /> <br />=livery? (Extra Fee) ^Ves O Crt~ Siare ~ZlP..i ~~ - ~~ <br />n <br /> r n fl h , !_ / <br />r <br />