Laserfiche WebLink
~ , _ - 48U 183 <br />, ~ A~ ' <br />~~ RECEIPT FOR CERTIFIED IWAIL_ 'J'' <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FDR INTFRNATIDNAI.,M GI, r,.G <br />NJV' '(__ h~ 10 1 <br />J (See Reverse) <br />-~6 <br />Senlt <br />Street antl No. ~ I?~5,~ S*e 315 <br /> <br />P.O., State antl ZIP Code t~ <br />O !~ !~ <br />Postage y <br />Certilietl fee '~ay <br />2 I `~ <br />SPec e <br />Restncletl DeASfa.1Fe~ t I'~~~~ <br />YYL <br />77 ~ <br />YY <br />o~~~~A <br />~A <br />Return Receip <br />t <br />IO wham antl D <br />Returry+~@grp s <br />Date, QTtFAd o ellvery b <br />~ <br />TOTAL Postage ~ s <br />b <br />Postmark or Dat <br />A ~ O~ <br />9 tlb`'.' <br /> <br />Qa <br />g <br />Y <br />m <br />m <br />O <br />d <br />CI <br />y <br />4 <br />N <br />r <br />a <br />IL <br />O <br />E <br />ILL <br />N <br />a <br /> <br />O <br />3' <br />I t <br />c <br />b <br />yW <br />A <br />V <br /> <br />O <br />N <br />n <br />A <br />H <br />C <br />S <br />z <br />s <br />m <br />R <br />S <br />®SEMDER: ~ ~ items 1, 2, 3 and 4. <br />Pur your adtlress in the "RETV RN TO" specs or~ihe <br />reverse sidB. Failure to do this will prevent this p' •tl lrom <br />beipfl returned to yet TM return rwrar:nr I~.~ ,. 2~0~ tlatla <br />you the name of the person delivered to antl tTi"b'_:O of <br />` <br />delivery. For adtlitionel lees the following services arp <br />available. Consul[ postmaster for tees en0 check box(asl <br />far servicels) requested. <br />1. ^ Show to wham, date antl address of delivery. <br />2. ^ Restrittetl Delivery. <br />3. Article Addrassetl to: <br />"1~ <br />~lu.,~ <br />1o.c~ (~.en <br />,y <br />y ~ <br />~p ~ OrQ.n-unttil a.t.(l 7 5 (] <br />~~ ~~~ dodo <br />4. Type of Service: Article Number <br />Registered ^ Insured ~~~ L( <br />~ ~~3 <br />Certified ^ COD 0 <br />a <br />9 <br />Express Mail <br />Always obtain signature of addressee or agent and <br />DATE DELIVERED. <br />5. S~pn~ture <br />y- Atltlressea <br />/ <br />X ° ~C n _~% <br />6. Signature -Agent <br />X <br />7. Date of D /iv/ory _yr/A_ <br />V/ ~ aC/ <br />e. Addressee.Address(ONLYifrcquessedandfeelntdJ <br />~` <br />