Laserfiche WebLink
$ SENDER: <br />• Complete hems 1 end/ar 2 for additional eervicea. I also Wish to feCelVe th0 <br />m • Compie[e items 3, end be 8 b. }°IIOWIng SB[VICBa ItOf an extra <br />• Print your name end address on the reveres of this form eo that we can fee)' <br />~ reNm [hie card to you. ' <br />> • Attach thia form to the front o/ the meilpiece, or on the back it space t. ^ Addressee's Address <br />i does not permit. <br />_ • Write"Return Receipt Requested"onthe mailpiers below the article number. 2 ^ RBSffiCfOd DBIiVOry <br />.• • The Return Receipt will show to whom the article was delivered end the tleta <br />C delivered. Consult ostmestBr for fee. <br />° 3. Article Addressed to: 4a. Article Number <br />m y~ <br />a Mpyh~Grk ~acr( ~o, 1 2!~ S,Z7 33 <br />~. ~~ 4b. Service Type <br />o "n, ^ Registered ^ Insures <br />y I • ~- t~ 0}~ ~41 ~; Certified ^ COD <br />W Return Recei for <br />G ~~ Pf)f~ `~ p~~~ty ^Express Meil ^ Pt <br />O T "~? Merchandise <br />C - 7. Date of Delivery <br />Q ~Q _ <br />j 5. Signature (Addres I 8. Addressee's Address fOnly if requeafed <br />and fee is paid) <br />6. Signature IAgent) <br />o ~ _ _ <br />_m' PS Form a.~17, December 195t n u.s.a.P.o.: tsex-sot-sso DOMESTIC RETURN RECEIPT <br />m <br />° <br />m <br />N <br />n <br />O <br />O <br />m <br />a <br />7 <br />0 <br />T <br />e <br />s° <br />F <br />