Laserfiche WebLink
SENDER: <br />~ <br />„ • a itwna 1 anNar 2 far adtlitiwrW •YVicaa. I BI50 Wish t0 reCBIVB tf10 <br />.o •CangNte il•rrr 3, 4s, and Ib. fDIIDWIng SBfViCOS (for an <br />~ •~ <br />; our <br />name and address on Na nvene of this form so Thal we can return this Bxtfa }66): <br /> <br />Y d <br />~ <br />•Atl~; ttrois bon to tae from of IM mailpiece, or an tta back it specs does nal <br />t. ^ Addressee's Address ~ <br /> <br />p •Wn19'Rerum Remi R uesred• an tae mail <br />p eq pixe below the ertiGe r••nber. -2. ^ Restricted Delivery y <br /> •iha Relum Receipt will show to whom the article was delivered entl the dale <br />a dekveretl. Consult posbnaster for fee. ' <br /> <br />0 <br /> <br />3. ressed to: ~ <br /> <br />4a. A 'cl Number ~ ^ ~~ <br />G u <br /> <br />c <br /> <br /> 4b. Service Type <br /> ^ Registered Certified ~ <br /> Z? <br />3 <br />^ Express Mail nsured rn <br />c <br /> ,. ^ RetumReceiptfor rch`n~e D ~ <br /> W (1~11 <br />V v <br />Q lJ <br />~ 7. Date of Delive Q ~[ <br />[e <br />o <br /> ` ~ <br /> r <br /> 5. Received By: (Print Name) 8. Addressee's A s (O ~req est d ~ <br /> and lee is psi t' <br /> ~ <br />g 6. Signature: (Addressee or Agenf) USQS <br />0 <br />T <br />O <br />_ PS Form 811. December t 4 Domestic eturn Receipt <br />r <br />i <br />C <br />C <br />0 <br />C <br />I <br />V <br />u <br />c <br />z 19~P~~,•7 ~"C <br />~u~~~ ~-° <br />us Postal Service le iP r- ~' <br />Receipt for G~ertifted Mail <br />No Insurance Coverage Provided. <br />^n nnl uen Inr Intum•linml tln;l /Cee ....,.......r "~ <br />o <br /> w <br /> U. <br /> <br />Olfice, Stets, ZIP 3 <br /> <br /> N <br />Postage ,S ~ <br /> <br /> <br />Cerfified Fee <br />Spedal Delirary Fae n <br /> <br />Restdeetl Defvery Fee U <br />r <br />~ Mum Receipt Slowing W R <br />' tlVharrl8 Dale Oeivaretl <br />< <br />fleAen <br />F <br />~g <br />~, O <br />Dek,6AdReaee <br />iWdas <br />~ TOTAL Posiege 8 Fees S <br /> <br />1 C <br />~ Posenark or Date <br /> C <br /> <br /> T <br /> <br /> <br />1 <br />1 <br />i <br />D <br />J <br />1 <br />