Laserfiche WebLink
<br />(~(,~ _ Zo o v - 01 D <br /> <br />II__ / <br />U pry// 0~5 Droc <br />0 ~ lrW T v I` 1 fl ir/ l,,e~ l' ~ <br />~l~d~~ , ~~' ~~o-~~~ <br />'~ <br />l •_ <br />a~QO~~ <br />....ry F`e`e O~ GeU~l7J' <br />_ .7\5 <br /> <br />U.S. Po <br />CERTI stal Ser <br />FIED vice <br />MAIL RECEIPT <br />(Domes tic Mai l Onl <br />; No Insur <br />C P <br /> y <br />ance <br />overa ge <br />rovided) <br /> <br />D"' <br />m <br />0 <br />..D <br />" Poetape <br />r <br />f <br />/.-~ <br />0 / <br />~ <br />~ Cenllled Fee I, ~O / <br />• /" <br />77 <br /> <br />~ <br />ReNm Receipt Fee <br />(FSdgrsement Requed) <br />'l <br />S ~" <br />r <br />I Po991~e1k <br /> <br />He <br />O . 1 <br />O ResMded Delivery Fee ~" <br />r ~ <br />p (Fndarsemenl Required) \ ~ <br />/r <br />~ Tatal Poetape 6 Feea ~ `'l <br />~ 8' <br />C \\ ~v <br />~ <br />f1J . <br />e <br />r1J Nnams (P eesa Pr/ f Cleer~) /To be completed by mailer) <br />~ Sfreef, Apt. No.; or PO eo+ No. <br />o <br />....~ .................. <br />...... --- -~~-~ ~---- ---~~---- -------- - - ~ <br />......................... <br />M1 Clfy, Sfefe, ZlPa 0 a Cd Sl3o <br /> :.. <br /> <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 cartl to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Atldmssed to: <br />~~ ~e~ ~~~ <br />/~ ~ ~ (,~ N~ /Ga <br />-~/u~z~.~iu ~ CO ~C3ol <br />A. Received by (Please Print C/eady) ~ B. Dat~Ql Delivery <br />C. Si ature <br /> <br />X l L C~. 6 Agent <br />j~ - ^ Addressee <br />D. Is delivery atltl ass tliHerenl ham item 17 ^ yes <br />It VES, enter delivery atltlress below: ^ No <br /> <br />3. Service Type <br />~'Certfietl Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Micle Number (Copy Irom service label) <br />? D 99 320 000 g59G `J~7 S <br />PS Form 3811, July 1999 Domestic Return Receipt ta2695-99-M-t]ee <br />>f Lr <br />