Laserfiche WebLink
M1 a <br />9'.SENDER: -- -~ <br />q' • Comole[e itsmf 1 and/or ]for additional eervicaa. <br />m • Camalele items ~, end +a 8 b. <br />• Print your name and addrafa on [ns reverse a/ this farm eo tnet wa cart <br />m `rstum Chia card to you. . <br />~' •.Anath Chia form to the Iront of tM meilprecs. or on Iha beck it space <br />doaa mt permit <br />m • Wnte"Ratum Raceip[fleQUested"on me mailpiece bebwthe article number <br />• The Return Receipt will alpw to whom the article waa delivered and the date <br />G delivered. <br />v 3. Article Addressed to: 4a. An <br />0 ~\, <br />.. - - <br />I~also wish to receive the <br />following services Ifar an extra ~ ; <br />feel: `' <br />1. ^ Addressee's Address y ~ <br />~'2. ^ Restricted Delivery m ~' <br />°' ~ ~ ~p~v ~ O~~ v t\ db. Service Type <br />~ <br />c <br />~ / <br />lD~bb C ~^rl• Registered <br />^ Insured <br />. <br />rn DUe.~~ ~~ ul, Certified ^ COD <br />w ~ . <br />(` <br />C ^ Express Mail ~ ^ <br />, O~~4 <br />1 <br />`9J Mercha <br />~ <br />' \ <br />~ \~j~~ 7.' D to of Delivery <br />D <br />Q . ~G <br />~ 5. S' n e resse dresse 's A dress ( ly <br /> and lee is paid) <br />F <br />Wte 6. i e (Agent) ~ . <br />0 <br />fee. e~i <br />~y S ; <br />)\ J ~ i <br />~i <br />C ; <br />W <br />c. <br />:eipt for ~ ; <br />se ~ i <br />~• <br />~O' <br />T'' <br />requested m <br />c. <br />L <br />F <br />> PS Form 3811, December t9st y,u.s.oPO: ttroa-asxal+ DOMESTIC RETURN RECEIPT <br />-~ ~--"'- -- " - `; I ~ also- wish to receive the <br />• Complete itsma 1 andlpr"Z for sdditiorwl services. <br />•, Complete Items a, end +s 8 b. }allowing services (for an extra ~ ! <br />• Print your name antl edtlreea on the reverse of this )arm so that we ten 'feel: <br />return this nrd tp YOU. .r Z i <br />• Attach this lone to the Iront of the mailpiece, or on the back it spaea t. ^ Addressee's Address m <br />N <br />done rrot permit. ' <br />• Wdp"ReNmflduiplRpuartatl"on the mailpiece bebw the article number. '2 ^ RBatrlCted Delivery Gi <br />• TM Return Receipt will show to wham tM article wee delivered and the date V. <br />J.. AttiCle Addressetl to: ' <br />`~ca.g~ ~ C° ~ b~~\ <br /> Consult ostmaster for fee. m I <br />4a. Article Numb r <br /> <br />Sl <br />S~1 <br />Q ~' <br />~~I <br />, <br />~~ ~; <br />4b. Service Type m <br />~ <br />^ Registered ^ Insured <br /> <br />Certified ^ COD c <br />I <br />^ Express Mail ^ Return Receipt for ~ <br />Merchandise <br />7. Date of Delivery ° ~ <br /> <br />8. Addressee's Address IOnly if requested x <br />and tee is paid) ... ~ <br />m~ <br /> ~ I <br />i <br />'f•ortn sa t t, uecemper tyat _ auacPtr.t~uatt+~ DOMESTIC RETURN RECEIPT <br />t.:.-::.. _ .. ...: <br />P 161 956 513 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do nol use for Inlemafional Mail ISee reyerse)_ <br />5(~n~l la C ~ (~ <br />\ ~ 'cwt( l~` ~ l~ <br />t'~ <br />SIreN ~ ~U <br />/ ~\ <br /> <br />C ` <br />Olfice. SWIe. B,~IP Coda <br />Po <br />eL <br /> <br />~ ~ a\ <br />Postage ~ 2, <br />Ceruficd Fae <br />Spedal Delivery Fee <br />Restdcled Defivery Fee <br />Retum Recep15how'ulg to ~ ~ <br />Wham 8 Date Defivemtl <br /> <br />Rehm flceipl <br />Dale, d Adh <br />TOTAL P 2 <br />' Posona le at6 <br /> <br />X991 <br />' LISPS <br />°o <br />.( <br />a <br />C <br />(: <br />m <br />C <br />f <br />V <br />c <br />c <br />P 161 956 517 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />I]n nnl ace Inr Inlemalional Mail /See reverse) <br />Sent to <br />3v.c ~ <br />Slreel8 Num r <br />'l b\ ~. <br />Posl pfip, Slale, 8 ZIP C <br />~ <br />8~~b\ . <br />Postage S 3 Z <br />Certified Fee ~ • Zf <br />Spatial Delivery Fee <br />Rsstdded Delivery Fee <br />Reluln R <br />whom a ~ i <br />Peaan <br />Dale, ,f ces ~ <br />TOTA ages s •f" 2 • ~~ <br />Postma or <br />LISPS <br />m <br />rn <br />a° <br />G <br />O <br />C9 <br />E <br />`o <br />LL <br />y <br />o. <br />P.vi' <br />