Laserfiche WebLink
° SENDER: <br /> y • Complete items 1 andlor 2 for(dditionel services. I a150 wish [O receive the <br /> ° • Complete items 3,and 4a$b. following services (for an extra le <br /> • Print your name end address on the reverse of this form so that we can fee): 'a <br /> ° return this card to you. <br /> m • Attach this form to the front of the madpiece,or on the back If space 1. ❑ Addressee's Address M <br /> does not permit. <br /> r • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ 6 <br /> Restricted Delivery •m <br /> • The Return Receipt will show to whom the article was delivered and the date <br /> G delivered. Consult postmaster for tee. <br /> v 3. Article Addressed to: 4a. Article Number <br /> ° <br /> a RALPH LOPEZ P 296 608 399 <br /> 4b. Service Type ° <br /> E BASIN RESOURCES INC ❑ Registered ❑ Insured <br /> y 14300 HIGHWAY 12 ® Certified ❑ COD <br /> W WESTON CO 81091 ❑ Express Mail ❑ Return Receipt for 7 <br /> 2 Merchandise <br /> 7. Date of Delivery <br /> � � 7 <br /> cc <br /> T <br /> 5. Si e d tea a 8. Addressee's Address`(Only if requested x <br /> and fee is paid) <br /> r i <br /> 6. Signature gent) I' <br /> a <br /> wPS Form 3811, December 1991 *U.S.GPO:lcca—as2.n4 DOMESTIC RETURN RECEIPT <br />