Laserfiche WebLink
<br />r <br />n r _ <br />~ -'=.~ <br />L R -rage s <br />L % `~ <br />~ ^eNiietl ree 7 r^. <br />.> t . <br />Return Receipt Fee ~ <br />f E~corsemeY Re I <br />n ( aaretl c._L <br />~ rictetl ^elvery Fee <br />7 iEntlo~semer.! Renmretll <br />~ Total Pcstaga 3 Fees ~ y '~ t N <br />`!t~~~,! <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired A. Received yr(Plea/se~ %jar-Clearly) e. <br />~~ <br />~GIG ate of Delivery <br />'~~. <br />. <br />. _ <br />F~ <br />^ Print your name and address on the reverse <br />F so that we can return the card to you. <br />iece <br />1 ^ At[ach [his card to the back of the mail <br />G. Signyara <br />~- ~~ <br /> <br />^ Agen <br />p <br />, X <br />~ dressee <br />I or on the front if space permits. <br />{ ^ Yes <br />I D. Is delivery address different from item 1? <br />I 1. Article Addressed to: <br />1 If VES, enter delivery address below: ^ No <br />~ 1~~ot~e 4 C~lv~ t~y ~~~/~r~C ~"~5 <br />7~ "~~, x .~.~ C~ 5`i <br />~: <br />~~ i_ ~ - ~ L L' <br />J~~ctu'Y~~(~OCI~ j~r~triJ ~ <br />~ 3. Service Type <br />~-Certifietl Mail ^ Express Mail <br /> <br />^ Re <br />istered ^ Return Recei <br />i f <br /> <br /> <br />r Merchandise <br />r j ~ <br />~ <br />`l g <br />p <br /> ^ Insuretl Mail ^ C.O.D. <br /> 4. Restrictetl Delivery? (Extra Fee) ^Ves <br />2. Article Number (Copy from service IabelJ <br />~7Cc f <br />~`('GG ~lCi/~{ I~ZZ <br />i75~f~ <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-0952 <br />