Laserfiche WebLink
S <br />f~ <br />Ul <br />m <br />m <br />N <br />s nee.,., rvecnN Fee <br />~ 11=..ntlarsrmenl ne0~~~~1 <br />O <br />O Restrgletl Delivery Pee <br />~[ uonemem nenuimnl <br />O <br />O <br />S <br />m <br />o- <br />o- <br />0 <br />r` <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 i1 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 />7. Article Addressetl to: <br />A. <br />Q Agent <br />B. lie>reived by (Printed Name) C. Date of Delivery <br />~-~1-03 <br />D. Is delivery address different from item 1? ^ Ves <br />N VES, enter delivery address below: ^ No <br />\\~~ Uox~(e ~l <br />Cti'x~ ~ I N~ N 5 ~ Z 4 3. Service Type <br />-Certified Mail ^ Express Mail <br />O Registered ^ Return Receipt br Merchantlise <br />Q Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Exf2 Fee) ^ Yes <br />2 Article Number, ~ ~-. Q`j'~, :34.o O. QM~- }`133 s~t/-; -~~ <br />(Fens/er /rom servicelabel) <br />PS Form 3811, August 2001 Domestic Return Receipt to2595-02-M-to3 <br />