Laserfiche WebLink
^ Complete items t, 2, and 3. Also complete <br />item A if Restricted Delivery is desired. <br />^ Print"your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atldressed~to~. <br />(hoc ~Q er ;~u.vr~ C°,1~erk aw) <br />j-1 e cowl ~ r <br />~ S~~~e2a <br />~~so 33 S-1-r~ ~ <br />A. <br />X Agent <br />- -0-Addressee <br />B. eceiv by (P ed Na e C ate of D,e~live/ry <br />f vv I <br />D. Is delivery address different hom Yes ~ <br />If YES, enter delivery address below: ^ No ~ <br />i <br />r <br />may, 3. Service Type - i <br />~o~~.lG~~ r~ (}(),~Q~- Certified Mail ^EapressMail i <br />^ Regisieretl ^ Return Receipt for Merchandise I <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (6rtra Feel ^ yes ~ <br />2. Article Number ~ i <br />(Transfer from service let 7001 1140 0002 3&83 6930 <br />P$ FOnrl 3811 August 2001 Domestic Retum Receipt 102595-01-M-2509 <br />_ `i t <br />O <br />m Poam9e s 0.57 77. <br />~ ~•.,., <br />m cerunod Foo ~' <br />~POStmerk ~ <br />(1.1 Realm Receipt Fea <br />~ (Entlorsaman[Required) 1'~ Hera .a <br />~ Restricted Delivery Feo ~ K~K o <br />D (Endorsement Required) D+~ i <br />p total Pasmge a Feea $ 4.17 ~ D+ ~ <br />ra Sent <br />~ St et, Apt. No.; '7~ Y <br />~ or PO BOr NO. ~.fJ _D ___3..3____ \-G•^~lfl ~.~~_ <br />t` ary, stem, nv« a e ~ 3a - ~`- <br />:rr rr <br />