Laserfiche WebLink
~' SENDER: I also wish to receive the <br />•Conipl•e itBrrr 1 M6'a 2lor addtlmel aervicaa. <br />• •Conipi•a aanr 3, fie, and ab. falbwirtg services (tor an <br />4 •Prlm your name erd etltlreaa an Urn nreree of thin loan so Ihal we can velum this gMra f96): <br />C rerd to you. <br />~ •Anech tNa form to the hove of the mellpieu, or on the bade II apace done not <br />p perrrvt. <br />• • Wdte'Refum Reoeipl Requested' on the megpisce Debw the edid0 number. <br />$ •The Relun Recllq w+ll show to wMm Urn snide was delivered en0 the Bate <br />C delivered. <br />0 <br />3. ArGCIe Addressed to: <br />~~n X10 ~1 f~~1 <br />o~Cts~n ~eSO~°Ce5 <br />~~~. ~v ~Cel- ri~'ln~rn~~ <br />~g00 ~~r'.~n,~.1 i~~ (P3 9 <br />y~yl,~C~C~~~~ ~C~ SfL'~II <br />5. Received By: (Pdnf Name) <br />~ 6. Sign ur : (Ad a or Agent) <br />a°. X <br />• <br />PS F Rn 871, December 7994 n <br />N <br />in <br />n <br />Q <br />C <br />O <br />to <br />c7 <br />li <br />a <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consult posOmester for tee. <br />^ Registered ^ Certified <br />^ Express Mail ^ Insured <br />^ ReNm Receipt for Mertriarldise ^ COD <br />end !ee is paid) <br />Z 26$ 23-~J.88 }~ <br />US Postal Service 3i~ C~~C <br />Receipt for C~i~i~d ( ( ~ <br />No Insurance Coverage Provided. <br />Do rwt WFB for lntamational Mail LSna mvmm~l Q <br /> <br /> r <br />3et8 NUm at ~~ ~~~ <br />Otfice, Sl e, 8 P C <br />~~1 ( <br />Posgga a <br />Certified Fee / , G O <br />Spatial Delivery Fee <br />ResldtlM Delivery Fee <br />Retum Receipt Showing to <br />whom 8 Data Delivered L <br />ReNm RecepiSMwsp to Nv ~ <br />Dale, 8 MMessee's Myeq C <br />TOTAL Postage d Fea a ~~ <br />PosMadc or Date <br /> <br />s S ~ m <br />66~ <br /> 0 i <br />U <br />C <br />f~ <br />T <br />N <br />E <br />t~ <br />-E <br />t <br />r <br />c•7 <br />r <br />V <br />D <br />8 <br />t <br />N <br />_~ <br />Q <br />3 <br />x° <br />• <br />s <br />T <br />Y <br />c <br />• <br />r <br />F <br />