Laserfiche WebLink
iii iiiiiiiiiiiii iii <br />u SENDER: <br />~ • Complete ileps 1 and/or 2 fur atldilional services. <br />. I also wish to receive the <br />10110Wng ServiCBS (ter an <br />y <br />d • Complete items J, 4a, antl 46. <br />• Print your name antl atloress on the reverse of this loan so <br />that we <an return this <br />extra fee): <br />' ~ <br />N cab to pdu. <br />• AdactWris form to the front of the mailD~ece <br />or on the back <br />it space tloes not <br />1. ^ Addre55ee'a Address ~ <br /> <br />~ , <br />perms' <br />• Write 'Fe(urn Aecelp! Fequesleo'on the mailpiece below the article number p. ^ Restricted Delive <br />ry m <br />W <br /> .The Return Receipt will show to whom the ad~cle was deliveretl antl No date <br />oeliveretl Consult oslmaster for fee. <br />p <br />C <br />0 <br /> <br />a 3. Anicle Adtlressed to: ~ <br /> <br />~ . <br />(n.r rt <br />a <br />~ S 4a. Article Number <br />`~ ~+3(~ 781 8~i <br /> <br />a e <br />Cne~9H <br />4b. Service Type <br />o ' , 1 <br />~~I?~j ~2R-VPsr ^ Registered ^ Cedified <br />U <br />a0 ~ X59 <br />^ Express ai141225 ~ ^ Insured <br />~ <br />~ <br />` <br />~ <br /> ipl,for Mercha <br />^ ReturnR d <br />se <br />^ COD ~ <br /> ~/O (~~t>/e /' a+ ~ ~ ZZ/ _ <br />'/ C~l% Y~ 7. Dale of e7ivery '~ N <br />W <br />~ <br />r <br />a o <br /> ~ <br />~ <br />~ I <br />I o <br /> 5. Received By: (Print Name) 8. Addres ddress (O I equesfed <br />and tee I ~~d <br />~ <br />~ m <br />~ <br />w " •_ 7 F <br /> 6. Signature: dressee or Agenfj \, <br />'o <br />T X <br />~ PS Form 8'11, December t99a 102595-9a~B 0229 Domestic Return Receipt <br />