Laserfiche WebLink
<br />'' C~ <br />(Domestic Mail Or <br />^ <br />.~ <br /> <br /> <br />p Postage ffi <br />'~ CeNfled Fee <br />O <br />0 Retum Receipt Fee <br />(ErMOraement Required) <br />O ReaVlcted Delivery Fee <br />ra (Endorsemem Required) <br />tf <br />t <br />N Total Postage 8 Foss g <br />S <br />p Sam o <br />p SLV Irr~ <br />-------- <br />M1 3nsei. iloC7Va: <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this cartl to the bacK~of the mailpiece, <br />or on the front if space permits. <br />y 1. Article Addressed to: <br />I SLV Irrigation Well Owners, Inc, <br />P.O. Box 147 `0 B1)q <br />j La Jara, CO 81140 <br />I 4e ~Q- ~ <br />t ~ <br /> ~ ~' V ~`' ::~- <br /> <br /> Poelmark <br />~~ 2C"Ram <br />g <br />P - ~~ <br /> `J/ <br />~L <br /> <br />P.O. Box 147 <br />La Jara, CO 81140 <br />A. Sign~t re <br />X ^ Agent <br />' ^ Addre <br />B. Rec ' try ( ed Name) C. Dat of D rve <br />~rc~ ~u h ~ 3 <y a; <br />D. Is Delivery address tlifierent from item 77 ~ yes <br />If VES, enter delivery address below: ^ No <br />~"~ RQ`\ ~ Certifed Mail ^ Express Mail <br />^ Registered ~Rettmt Receipt for Merchandi: , <br />V ^ Insured Mail C.O.D. , <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />z. ArticleNomber 704 2510 0~~6 0486 2869 <br />(riansfer /rom service I <br />~~ PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M4 <br />