Laserfiche WebLink
9 <br />to <br />r <br />0 <br />3' <br />J <br />J <br />m <br />m <br />u <br />P.0 <br />Cra <br />O <br />3 <br />N <br />n <br />M <br />!~ <br />C <br />ip <br />IZ <br />~m <br />m <br />v <br />• SENDER: Complete items 1, 2, 3 and 4. <br />PUt Your atldress in the "RETURN TO" space on th! <br />reverse side. Failure to do this will prevent this cartl from <br />txing returned to you. The return receipt lee will Prbvitle <br />you the name 01 the person delivered to end the date o/ <br />delivery. For etlditipnel teas the following services ere <br />available. COnwlt postmaster for tefa end check tsoxlesl <br />for servicelsl requested. <br />i. ^ Show to whom, date dntl atldress of delivery. <br />1. [] Res[rictstl Delivery. • <br />3. Article AtltlressaJ to; <br />, <br />Frank Levkulich <br />Box 4A6 <br />g;~ C~: 3162b <br />4. Type of Service: Article Number <br />^ Registered ^ Insured <br />[~ Certifietl ^ COD p 068 279 572 <br />^ Express Mail <br />Always obtain s~9nature of addressee or agent and <br />DATE DELIVERED. <br />5. Signature - Addr ee <br />~ ~ /- <br />6. Signatu <br />Xc-; <br />7. Data o~elivery <br />F , <br />t <br />n <br />Yfi <br />\' <br />J <br />a. Addres:e: ~ A <br />aereas /ONLY i requests a n pt <br />/ <br />~~U' / <br />P 068 279 572 ~ v <br />RECEIPT FOR CERTIFIED MAIL N~ <br /> <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL N <br />~p <br />b <br />~/p C (See Reverse) <br /> \ <br />3 <br />O <br />LL <br />O <br />e) <br />m <br />c <br />ImL <br />l+l <br />IL <br />m <br />a <br />~e <br />SB t t0 <br />drank Levkulich `` <br />Street antl !"' -` ' = <br />P.O., Sfate and ZIP Cotle <br />0 81626 <br />Postage ~ ~; Jl `,. M1, <br />! f <br />Cerlifietl Fee 'tom ~7 <br />y f {~,>r_ ~ <br /> .~ . <br />Special Delivery a <br />/ ~r:.si <br />/ rv ~ <br />ReptuF Delivery Fee ~U <br />Return <br />to whom ana. <br /> <br />Return receipts wing to <br />Date, and Address of D ~ - - ~ <br /> <br />TOTAL Postage and <br />PaeS-- <br />~ ~ <br /> d <br />Postmark or,Dat -• _ ts~n i') <br />~~; i ~ <br />. <br />,.. <br />(J~~ .:., <br /> <br /> <br />r <br />