Laserfiche WebLink
<br />o- <br />'B NDE <br />•COmdwa Nema ~ and/or z for aeatlorw aarNCaa. <br />I also wish to receive the <br />w <br />o •Camdwa Name 3, Ia, and fib. <br />•Penl your nanw eM atltlmaa on Ma mane d trw faFm w mtlwe <br />can Mum Ihia fOffOWing SBrVICBS (fOf 8n <br />extra fee): <br /> <br />t <br />j <br />mrtl to you. <br />•ANach Nis brm to the hom oftla mwlpiece, or on Ihebeck if apace does nal <br /> <br />t, ^ AddrBSSeB's Addres3 E <br /> <br />~ <br />~ <br />p pemil. <br />• Wnte'Hwum Feaaipf Requaefed'on IM maildece bwow the aeiGe number. <br />p. ^ RBStdC[Bd DBIiVery <br />y <br />$ •mw Rwum Receid will show to x1wrn the anitle was tleGVeree and Iha tlwe «a <br />~ tleliveree. Consult postmaster for fee. <br />o <br />v <br />3. Artlcle Addressed to: <br />4a. ANcle Number <br />~ ~L~CICOLC1: <br />ur <br />'~ f C'QYYYY1156 f O-'-B'S Z ~ <br />E <br />° `^ <br />: <br />~f,.~ ` ~~Un s-~~ 4b. Service Type ~ <br />~ <br />u '^ <br />~~~~ ~~~Y ^ Registered Certified rA <br /> p <br />~ ^ Express Mail ^ Insured 5 <br /> ~ <br />sp--ir~fietd / ~ 0~ Retum Receipt for Menilandise ^ COD ~ <br /> 7. Date of Delivery <br />a ~ <br />Z T <br /> 5. Received By: (Print Name) 6. Addressee's Address (Only i! requested ~ <br /> end !ee is paid) i <br /> r F <br />g 6. Signature: (A ressee or enf) <br /> x lw <br />~ PS Fonn 11, De, bar Pisa - ~ Domestic Return Receipt <br />,_ <br />e <br />f <br />0 <br />0 <br />m <br />Ol <br />O <br />LL <br />a <br />Z 416 94 <br />Recee~~tor2 <br />Certi~`ied ~~ <br />No Insulle~~ ~ ~g~j ~f~Fid~j <br />rm~u:.~ Do not use for In a i a M~ <br />ISee Reverse) <br />"'° Co Cmmm <br />~4'i°>/lalnSi . t~'.D.~LoK lily <br />Sine and .Co e r r~ ~r••r•T~ <br />n Q (~f5 <br />Postage <br />Cerm~eE Fee <br />Speual Ceeve~y Fee r <br />C <br />Pesu¢¢d Deuvery Fea <br /> C <br />Pelun Peaei°i SM1Owing 0 <br />~° Wnom B Dale Denve~ee E <br />Pewm flere~°i SM1Ow~ng io Wnom. 1 C <br />Date, and AdtlresaaYs Addess S <br />iOiAr Posies ~~ <br />~ U <br />C <br />g tees ~~. ~ . T <br />Pcslmark Qr Date' C <br />/ i T <br />` J I <br /> <br />~,-~ C <br />1 <br />i <br />J <br />3 <br /> <br />