Laserfiche WebLink
a~ <br />3 <br />>r <br />~_ <br />• 9ElIBEtt: 6arnplete items 1, 2, 3, erld ~. <br />Add your address in the "RETURN FO" ayes <br />on reverse. <br />(CONSULT POSTYAS3EH FIB FEES) <br />t. The felbwing xrvice is requested (check one). <br />Show to whom and date deliverd _._ ............... _C <br />^ Show to whom, date, and tddress of tktivB[Y.. _tt' <br />z.^ RE9TRICIED DELIVERY -6 <br />(The rvrrrrcred delivery fre it [hanged in addition ra <br />the •aurn mreipr fee.) <br />TOTAL ~_ <br />~. aRrtcLe ABBRE Bra <br />'i¢Lt>,1117A TSAStN t.~lUtAu;~ l!!L, <br />P <br />ao <br />81o$Z <br />T~nb ~~ <br />a. TYPE OF aERY1CE: ARr1CLE NUMBER <br />^IIE615TERE0 ^NISIMIED <br />~~~ ^ COO <br />^F7IPaEBa MAIL <br />(A1wya obtakt slprlaltae of addteasee oY agent) <br />f have received the anicle described above. <br />SIGNATURE ^ Addressee ^ ~Aulhorized agent <br />L~ ~ ~ ~ ' - <br />5 <br />BATEOF LI Y PCyfSMARK <br />~t .. <br />a. ADBREBlEES AOpiESe (Only / ume.~ I ; r 1 <br />~ r <br />t / <br />7. UNABLE TO DELIVER BECAUBE 7a. EMPLOYEES <br />INRIA <br />LS <br /> / <br />C_ <br />J <br />P 397 1.45 539 <br />,(\~ RECEIPT FOR CERTIFIED NiAiL <br />NO INSURAt:CE COVERAGE PROVIOEC- <br />NOT FOR I:JTERNATIONAL MAIL <br />I <br />o ~ 5, flee RePeex) <br />(~ Sant to <br />O TRt PIrTO1b BASIN MlMll.'~.Y11•k <br /><Y+ StrBat and No. <br />Y.o. BoX ~t8~ - <br />PO Suta antl ZlPC~ ~~ <br />~TR.IaIaa~I <br />c Poatapa 6 <br />rrh~" CartHlad FM <br /> <br />~ SDaelal DelivarY F 1~ <br /> <br />Rearlctatl Dali Fae <br />r <br /> Rsturn ReNlpt Y+a)I <br /> to whom end D TINA <br /> Return RaceiBtSh 'nettty <br />of <br />dd <br /> rasa <br />pate, end A <br />hm <br />o~ <br />by TDTAL PoauBa and FBr <br />(") ly PaFtmark or Dan <br />ti <br />0 <br />0 <br /> <br />n <br />~ <br />~ <br />cJLL <br />N <br />