Laserfiche WebLink
^ Complete items 1, 2, and 3. Also complete <br />item 4 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 Adtlressed to: <br />[~ongqYVlpV1~ So;~ ConserWEiDVI Q~"I <br />q5q-'~' ~,~elson 12md~ box <br />I-o Ylw + G'0 so <br />^ Agent <br />(Printed Name) ~ G Date <br />D. Is delivery address different from Rem 17 U Ve: <br />If VES, enter delivery address below: ~~1 No <br />hQ V, ~ S a I 3. Service Type <br />J ~ Certifed Mail ^ Express Mail <br />^ Registeretl ^ Return Receipt for Merchantlise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number "" - -' - - 1 <br />(transfer/romservicelabel) 7001 1140 0002 3883 6947 J <br />PS Form 3811, August 2001 Domestic Retum Receipt 102595-o1-M-25os <br /> <br />$ 9w <br />~.~ ~ <br />O~ <br />Rl Postage <br />r71 Certlged Fee <br />~ Retum Receipt Fee <br />p (F1MOrsement gaquirerl) <br />~ Restricted OelArery Fee <br />O (Fndarsement Required) <br />~ total Postage 8 Fees <br />S <br />0 <br />M1 <br />1.50 <br />4.17 <br />