Laserfiche WebLink
~ Complete items 1, 2, and 3. Also complete A Signature <br />• Rem 4 if Restricted Delivery Is desired. X ~ ^ mart <br />~ Print your name and address on the reverse /// ^ Addressee <br />>i0 that We Can return the card to you. <br />• B. Received by ( nted ) C. Date of Delivery <br />~ Attach this card to the back of the maiipiece, ~ ~~ i / <br />or on the front if space permits. <br /> D. la delivery eddre tlirterem from item 17 Yes <br />,1. ANde Addressed to: tt YES, emer delivery address below: ^ Nd <br />Idr Charles R Ponchak <br />Pedc ]nc - <br />PO 13ox 278 <br />CO 81427 <br />Oura <br />y <br /> 3. Type <br />Certified Mail ~ <br />^ Express Mail <br /> Registered ^ Retum Receipt fdr Merchandise <br /> ^ Insured Mail ^ C.O.D. <br />_ - 4. Resbicted Delivery? (Extra Fee) ^ Yes <br />2. ArticleNUmber 701 2510 0004 2146 X333 <br />• (Transfer irom service label) _ _ <br />~PS Form 3811, August 2001 Domesfic Retum Receipt zncaawaz~sas <br />