Laserfiche WebLink
~ SENDER: <br />Compete it•rn• 1 •M/or Z /or •editbn•I Mrvic••. I also with to receive the <br />~ Comptn• hern• 3, •no s• a e. following services Ifor an extra ~o <br />~ • Print Your n•m• Intl •dEr•U m tM nvre• of thi• form eo that ws can (e01: <br />~ r•tum this nrtl to you. o <br />• Attach lhi• loon to tM hoot of tM mulpiet•, or on the E•ck it ep•oe 1. ^ Addressee's Address f/J <br />dose not }sertnit. <br />2 • Write"R•tumR•c•gtRpw•t•d"on drmrlpi•c•Wbw tM•nkk numGec 2 ^RestriCted Delivery <br />£ • TM Retum Receipt wip •how t tlr rrrticl• wu hliver•d end the seta <br />e e•iir.rea. Consult oetmaster for fee. <br />3. Article Addressed to: 4a.l~rticle Number <br />I Jatxt M. ~+nt imigl is ab ervice Type • <br />4390 N. iacadellry Blvd. ^ Registered ^ Insured <br />Colorado Springs, CO 80'918 enitied ^ COD <br />eg ~ ^ Express Meil ^ Retum Reesipt for <br />Mrhen is <br />I 7. Dats f Delivery ~ ' <br />5. Signature IAddresseel 8. Addressee's Addrew (Only if requested <br />end fes is paid) <br />Ps Form 11, December t9st u. p.o.: twz-sor~o DOMESTIC RETURN RECEIPT <br />_ _ F <br />OI•f1EY: 5 <br />Os <br />~_ <br />N <br />7 <br />M <br />E <br />LL <br />a <br />P 426 569 1p34 <br />Receipt for <br />Certified Mail <br />~~ No Insurance Coverage Provided <br />,~ r:~• Do not use for International Mail <br />ISee Reversal <br />sent r~ <br /> <br />Sveel ntl No. <br />4o d <br />P 0., Su and ZIP Cone <br /> <br />~ ,,`` <br />~ O <br />Posrage <br />Cenilietl Fee <br /> L°Z/ <br />Soeoal Del'rverv Fee <br />gesVRretl Delivery Fee <br />geimn gaceipl Showing <br />to Wnom b Dale DehaereC _ /~ <br />gemm Rece~ol Snow 1a eq <br />Dale, dntl AOGrQ53 S ldd PS.f r Q <br />TOTAL POalage ~~ ~ r`` <br />b F <br />ees ~, Z <br />Postmark or la •4 ~~ t <br />J <br />l <br />~` <br />r. <br />~ <br /> <br />_'~_ - <br />