Laserfiche WebLink
• <br />d SENDER: <br />•Complete item! 1 ands 21m additional eBhdcee. <br />1 8150 WIStI tO feCe1VB itle , <br />a ~Canplele items 3, 6a, and 4b. IOIIOWing SBIVICBS (IOf an ' <br />°° our <br />name end eddreac an the reveBa of this form w <br />• <br />l that we oen return tfua BMrfl 1BB): <br /> <br />> ~ <br />rard <br />o <br />•Attacn tie brm to the horn of the mailpiece, or on the badr <br />it e`ltece tloee net <br />^ Addressee's Address <br />1 ai , <br />° <br />~ pBRnlt. ~ . ro <br />a ~Wdte'Rerum Repaipr Requeeevd'on the mailpiece Delow Me article number. Q. ^ RBffirlcted DBtIVBry y ' <br />$ !The Return Receipt witl show to wTOm ere enlde was defiverad entl iha date <br /> <br />~ <br />delivered. <br />Consult postmasterfor tee. a <br />0 <br />v <br />3. Article Addressed to: <br />4a. Article Number <br />u <br /> MR CRAIG D GROTENHOIISE ~ ~~Sb3 e <br /> <br />e <br />PETE LIEN 6 SONS INC 4D. Service T e <br />YP <br />~ <br /> P 0 BO% 440 ^ Reg~d ~,Certifled ~ <br /> RAPID CITY SD 57709-0440 O ~ress Mail ^ Insured a <br /> Return Receipt for Merchandise l7 COD ~ <br /> 7. Dflte o1 Delivery <br /> .- ~ /~9 <br /> r <br /> 5. Recei red y: ° of Npme) 9. Addressee's Address (Only it requested ~ <br /> /NI and lee is paid) L <br /> <br />g 6. ignat re: Adtlr ee or ent) <br />r ~( . <br />n <br />PS Form 811, Dec Der issa <br />Domestic Return Receipt <br />rn <br />e <br />m <br />0 <br />0 <br />m <br />M <br />LL <br />y <br />d <br />_, <br />L <br />C <br />I1IC <br />1~ G <br />G.% <br />4L6 952 5i73 <br />