Laserfiche WebLink
ul 1 r+l <br />~ S <br />ra <br /> Postage $ . ~ / ~~\p <br />q <br />-_ N <br />`_ 1 0 <br />; -~ <br />r Certified Fee _ <br />~ a .30 ~~ j a~ <br />~u~m~~~~ <br />~~, <br />t+/ <br />~ Return Receipt Fee <br />(Endorsement gequired) <br />+ , 7`~ er <br />'~"'~'~' O ; <br />I t7 Restrkted Delivery Fee ~\ <br />~ <br />~~e O I ~ EEndorsement Requiredi ~(/S <br />~ <br />, <br />E' <br />q i ~ Total Poatege a Fees A Z <br />,$ ~- <br />' <br />o ~° <br />S <br />m ~ <br />~ AecpJenfS Name (Plea nn CIe~N) lto ba canF nf~d by malaq <br />Cc~,' o~~ <br />Cort~on <br />; <br />~Sict <br />A~lamS <br />~? <br /> <br />~ <br />Q' <br />a- . <br />. <br />...-- <br />. <br />. <br />. <br />Sbeet, L No.; or PO box No. <br />5 <br />~ <br />l Ln. <br />F~tzri2L <br />W <br />. <br /> <br />r~J N O <br />rv - <br />. <br />- <br />. <br />~ <br />City, Staie, ZIP.C ~,-„I <br />~ <br />tc.r/ <br /> , <br /> <br /> <br />^ Complete Items 1, 2, and 3. Also complete <br />item 4 It Restdcted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />so that the can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the Iront H space permits. <br />1. Article Atldressed to: <br />Priamr, ~nurry ~ ~ ~ (~~q- <br />~irx1 ~Distri~~"' <br />5~ W. ~3ran~2y L.n. <br />~3 ri9l~ai, ~ r~oi <br />A Received by (Please Print Clearly) ~ B. Date of Delivery <br />C. Signature <br />X ^ Agent <br />^ Addre <br />O. Is delivery address diaerenl from Rem 19 ^ Yes <br />II YES, enter delivery address below: O No <br />7. Service Typo <br />~( Certified Mail O Express Mail <br />^ Registered ~ Retwn Receipt for Merchandise <br />O Insured Mail O G.O.D. <br />4. Restricted Delivery9 (Eairo Fee) O Yes <br />2. Article Number (Copy /rom service labeQ <br />7ogG-~'fU'~-C)nt5-71o01 -1~f`f5 <br />PS Form 3811, July 1999 Domestic Aetwn Receipt 102595~99JA-1]a9 <br />{.. 1 t i <br />