Laserfiche WebLink
ii~l~ir~ii~~rriiiu <br />13 51 769 <br />~~n~y~ <br />~G• <br />7 t <br />/~ <br />N <br />O~1 <br />C <br />c <br />O <br />f~7 <br />0 <br />LL <br />N <br />a <br />~~r Certified Mail ~ <br />~ <br />st(~Ay Coverage Provided. <br />~ <br />iDo not use for Intematlonal Mail See reverse ~. <br />~'vle Vll.~ ' <br />b ~ >~~- <br />Pp~.~lfi~ ~ e,'8 ZIP O 8 ~~ IQ <br />l <br />rr <br />O <br />°ste <br />P <br />ge ~N~ <br />i• <br />Certified Fee <br />.~ ~j <br />Spedal Del' Fee J <br />Restdned Deti Fee ' <br />Retum Receipt S " g t ,/ ~ <br />Wlgm b Date DBN d ~ <br />Hetian Perept Do'anN b <br />' l~D <br />s Ames <br />Dam, a Ameaee <br />TOTAL Postage b Fees ~ ~; <br />Posbnark ar Date C <br /> IX <br /> C <br /> ti <br /> C <br />G: <br />m SENDER: <br />L •Complel¢ iteme f andor 2 for additicrW eerVlLee. <br />m • Complete ileme 3, Ia, and bb. <br />w •Pdn1 your name and address on the reveite of this loan w 1M1at wa can return lMs <br />card to you. <br />> •Atlach this loan Io the front of the mailpiece, or on the back it space tloee not <br />~ permit. <br />y •Wnte'Rerum geceipr Requesred'on the mailpiece below the article number. <br />5 eThe Return Receipt wiN show to whom the ertide was delneretl and the date <br />~ delivered. <br />O <br />v 3. Article Addressed to: 4a. cle f, <br />a ~ ~>r ~{~S p~ n i r~ ~~ 5r <br />e )'"J`~: J 4b. Service <br />I also wish to receive the <br />following services (for an <br />extra fee): <br /> <br />1. ^ Addressee's Address ei <br /> <br />Z . <br />2. ^ Restdded Delivery in <br />Consult <br />p <br />ostm <br />ast <br />r <br />fo <br />r f <br />ee. <br />e .v <br /> <br />~j <br />/ <br />~ <br />Q <br />J <br />l <br />/ <br />~ <br />OrL/ <br />r <br />~ <br />V <br />O <br />l <br />c <br />.~. <br />v <br />^ Certifietl ~ <br />^ Insured c <br />Q coo <br />o~ <br />rc ,, <br />~~' _1 °a. <br />s/'(~ /~/~ ~'t ~ (,~, ~7 ^ Registered <br />rn l V ^ Express Mail <br />¢ ~~~o ~~ ~`D Q~ ~ Z ~/~ ^ Return Receipt <br />p l~ (, 0 7 7. Date of Delive <br />z <br />s <br />5. Received By: (Pont Name) 6. Addressee'si <br />and tee is pai <br />g 6. Signet re: (Addressee or Ag rit) /~ <br />''' X G~ <br />j„ <br />.! .P,SnFor[n~: BrULr. D• e~em'b'er 19 4 DC <br />Address (.OhlyriF}equei'sted ~ <br />d) '''~~"~ ~ / t <br />F <br />,`. i <br />~' ~~.._ , <br />_.. _ _.... _ ._ ,.~.r_ __..-~ ..._.. <br />efgt ~~ <br />