Laserfiche WebLink
~ ^ Complete items 1, 2, and 3. Also complete A. Received by (Please Pnnt CleaNy) B. Date of Delivery <br />I item 4 if Restricted Delivery is desired. ~p ~ ~l <br />j ^ Print your name and address on the reverse <br />y so that we can return the card to you. C. Sig a[u n <br />^ Attach this card to the back of the mailpiece, <br />th X I , . ~,y-1 ~ Agent <br />~~~---~~~"""""'""" ~ Ad <br />[ or on <br />e front if space permits. dressee <br />~ <br />1. Article Addressetl to: D. Is tlelivery atltlress tlifferenl from item 1? ^ Yes <br />I <br />e Y <br />~ <br />~ ~- If YES, enter delivery address below: ^ No <br />a <br />1`r c~ <br />J~~E <br /> F <br /> , <br />_ <br />O <br />~ <br />~~t G <br />r <br />Q . <br />U ~T , <br />~ <br />~ <br />, <br />-~~ <br />I ~~ Ci 4L C-S~ S ~ hCX ~ \ • ~- I <br /> <br />G <br />~ <br />~ ~ <br />~ ~ <br />" <br />' <br />~ <br />D~ a. S rvice y ~~ <br />~~;~ <br />~~I <br />~,Certied a~y O Expree5M9il <br />~~ <br />~'~` <br />R <br />i <br />~lO <br />e <br />. <br />rY <br />~ V <br />t <br />~V <br />U U eg <br />s re~ <br />R~tt/ <br />r <br />ceipt for Merchandise <br />R <br /> Insured g C.~. <br /> 4. Restricted Delivery. ra Fee) ^ Yes <br />' 2. Article Number (Copy from service laoeq <br />PS Form 3811, July 1999 Domestic Return Receipt fo2595~g0-M-0952 <br />~~ <br />~ I <br />r . • .~ <br />~ <br />= o m <br />II <br />a l ~ lE~ -~ ~ A ° L <br />a 3 N [~fR <br />~ Postage $ _ - ~ ~ ~ .n <br /> <br />f` <br />~ <br />- " r' ~. <br />:' .r_ "~- <br />/ i <br />~~ <br />Certified Fee <br />~ <br />t Fee <br />i <br />A <br />R ~ <br />~ <br />'~ , <br />~ <br />if `- ~ ; `Postmark `~- ~ <br />e O <br />j <br />5 <br />~ Iy <br />* 0 <br />N <br />p <br />eturn <br />ece <br />(Endorsement Required <br />m ~_ / <br />, <br />~ <br />~ <br />i ~ , ~ po CU <br />0 <br />O Resirictetl Delivery Fee <br />p (Endorsement Requnetl) <br />_ i~.--~ ~ ~f <br />~ <br /> <br />~ Total Postage 8 Feea ^ <br />V1., 1 <br />fU <br />I1.1 <br />r^ <br />N~ e (Please Print Flearly),fio be completed b hailer) <br />~~~ilL~hl.ur-...Inc.:-----' <br />,1~,~C~(~,el <br />S <br />l~ <br /> <br />~. - <br />- <br />-- <br />-- -- ---------- - <br />Street' Apt. No.; or PO Bax No. <br />. N CI ate. Zl <br />I _ ~ r <br /> ~" <br />