Laserfiche WebLink
^ Complete items 1, 2, and 3. Also complete A. S ature <br />item 4 if Restricted Delivery is desired. <br />X ^ Agent <br />^ Pdnt your name and address on the reverse i ^Addre <br />so that we Can return the card to you. 8, ivetl by (Panted N e) C <br />9 ate of Del <br />^ Attach this card to the back of the mailpiece, ~ a. <br />or on the front if space permits. <br /> ^ <br /> D, Is delivery atltlress dMerent fmm Hem t? Yes <br />t. Article Addressetl to: If YES, enter delivery adtlress below: ^ No <br />~. ©, BD~K 1`~ D~ J <br />`c3~~j o r <br />A Signature <br />X /~~ /'[~~ CO'~OrwJ V ^ Agent <br />^ Addre <br />2. Article Number - - <br />(fianslerfmmservicelabel) 7006 0103 0~~3 5612 1396 <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />{~OP.(t~p OF LF4~IiJ <br />J 1 3 ~ E-~(~G-IlZlvl AdJ <br />B. Received by (Pan[etl Name) C. Date of Delivery <br />csRoc m. a~~ !l-ate <br />D. Is delivery address different from Hem 1? ^ Ves <br />If YES, enter delivery address below: O No <br />^ Express Mail <br />^ Retum Receipt for Merchandise <br />^ C.O.D. <br />__ -_ _ _ _ ^ Yes <br />2. Artic <br />„. s <br />R~ <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 card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />t. Article Addessed [o: <br />--2J~1 L~ ~ L S i'12--~ ~'1"' <br />~'~~ ~~X 109 <br />~.2~t~ ~~ <br />~l (a Z L <br />3. Service Type <br />C$'~rtified Mail ^ Express Mail <br />^ Registered ^ Retum Recelpt for Mechandise <br />^ Insuretl Mall ^ C.O.D. <br />2. Article Number - <br />(Tians/er hom serv/ce label) <br />PS Form 3811, February 2004 <br />4. Restricted DeliveryT (Extra Fee) ^ Ves <br />3. S~e`rvice Type <br />L7Gertifed Mail ^ Express Mail <br />^ Registered ^ Ratum Receipt for Mechandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery! (~ Feel ^ Yes <br />A Signature <br />^ Agent <br />X Q ~ ~t ICS ^ Adtlressee <br />B. Receivetl by (Panted Name) Date of Delivery <br />D. Is delivery address drfferem from Hem 1Z ^ Yes <br />If YES, enter delivery atldress below: ^ No <br />ST f <br />3. Servicre Type <br />6T(:ertifed Mail <br />DZ©~ ^ Registered <br />^ Insured Mail <br />7~~6 ZOO 0003 5612 1406 <br />Domestic Return Receipt <br />10259502-M-1560 <br />