Laserfiche WebLink
iii iiiiiiiiiiiii iii <br />m SENDER: <br /> <br />a <br />.Complete items 1 ardor 2 for atltlNOnal services. I also wish to receive the <br />m •Complete items 3, Ia, entl Ib. follOWing sefVICOS (fOf an <br /> neme end etltlress on the reverse of this form eo that we can return this <br />• <br />P <br />d E 1 o~ BXffa fBe): <br /> <br />~ f <br />~ <br />i <br />•Attach this form to the horn of tIb mailpiece, or on the back if space Does not <br />i <br />7, ^ Addressee's Address 4i <br />~ <br /> <br />y perm <br />t. <br />~Wrile'Retum Receipt Requested'on the mailpiece below the article number. <br />2. ^ RBStricted DBliVBry ~ <br />y <br />C, <br />~ el}ie Return Receipt will show to whom the enida was tlelivered entl the tlate <br />tleliveretl. ~ <br />Consult postmaster for fee ii <br /> <br />0 . ~ <br />~ rti <br />c <br />le Addressed to: <br />~A 4a le Nu bet <br />R <br />V <br /> p <br />( <br />~ <br />~~~ ~ <br />o <br /> <br />° ~`-~`~ " <br />^` ' 4 <br />'~ ~~ 4b. Service T e <br />R <br />i <br />d <br />f tv <br /> O <br />Y O ^ <br />stere <br />~ Certi <br />ied <br />eg <br />~ <br />r <br />c W` / <br />~1 . ~ ~ ~ ~ I ~ ~-•--r ^ Express Mail ^ Insured <br />^ Return Receipt for Merchandise ^ COD c <br />a 7. Date of Delivery <br />_ T <br />~ 5. Receivetl By: (Pont Name) 8. Addressee's Addres y i equesfed ~ <br />m ~ ~~ . ~~, and tee is paid) c <br /> <br />~ <br />6. Signatu : (Addr see or Ag f) f- <br />0 <br />a. <br />m <br />Ps Form 3811, D96ember tssa Domestic Return Receipt <br />