Laserfiche WebLink
Z 4La 876 645 <br />Recei tqq@@yy ~~~ <br />CertiftesTlVfaB ~-``'-- <br />~ No Insuran,~ej(~s~ra~.r <br />~ ~ Do not use for Inter~~ <br />.osn,vov rc,._ o.........,.r AYIVVL1h~.v_ i <br />W 1Or _ <br />i Y <br /> jsl , a ~. vCin~ <br /> 0 . Slate dnd ZIP Code <br />~ <br />\ <br />/ <br />p <br /> ` <br />M1 <br />-Y <br /> Postage <br />V € Ce~liliatl Fee <br />~LL <br /> Speoai Del,vav Fae <br />Ca <br /> FesmcredDeeve,vFee <br />d <br /> Peturn aece~pl Snomeg <br />u to Wnom 6 Dale Delnered <br /> Fleiwn Pe<e~pi Snpwmp Ip Vto <br /> Dam, antl AtlO~esse0'a'A~tlrl:S <br /> iOiAL Postage <br />~ <br />' & Fees t <br /> Postmark or Dario ' ' <br />` ~ .. <br />' ~'_' <br />1 <br />1 <br />1 <br />i <br />t <br />•Complete itempll and/or 2 for additional services. I aISO Wleh t0 reCBIVe the <br />•CgmplBle items 3, 4a, and 46. }olloWing SefVICBS (tor 8n <br />• Print your name erltl address on the reverse of this brm sa that we ran velum tots extfa fee): <br />card to you. <br />•A~; ihie form to the Irom ql the mailpiece, or on the beck it spars tloes not <br />t, ^ AddreeSBe'e Address <br />'Z <br />•Wdte'RMUm Receipt Requested'on the mailpieca Debw thearticle number. p.^RBStflCted DBllVery y <br />•The Retum Receipt volt show to whom the anida was deliveratl and the Date <br />delivered. Consult postmaster }Or fee. a <br />3. Arfide Addressed to: 4a. Articl Num r m <br />C~a-~y 7.Tu~1e z ~~1R ~71o ca4S <br />~ <br />p .~'~L^ <br />1~eS 1 V , ' CO~ , <br />Th <br />0~ 4b. Service Type ~ <br /> <br />^ Re <br />istered Certified .~. <br />d <br /> / <br />~ /~ <br />(~ <br />~`1~Ol:.ih lJr ~~b~ g <br />^ Express Mail ^ Insured ~ <br />c <br />'m <br /> . <br />~, /~ ~ ^ ~ <br />r 1u <br />( <br />(J N,y ^ Retum Receipt for Merchandise ^ COD <br /> / <br />, <br />D~ d .Date of Delivery <br /> DEC ' 91995 ~ <br /> , <br />5. Receivetl By: (Pont Name) '~ ~35 <br />y <br />J wro <br />~ .Addressee's Address (Only i/requested <br />i <br />d l <br />id ~ <br />~ <br />~ an <br />ee <br />s pa <br />) t <br />6. Sianatuw /Addle a nr Aaeetl ~ <br />~\ ~ l ~SLJ~ <br />PS Form 381 t, December 1994 <br />