Laserfiche WebLink
m SENDER: I Wso wish to receNe the <br />a • Complete items t sndor 2/or etldltlonel servkw. <br />r • Complete items 3, 4e, and AD. fOtiOWing se1VIC0s (fOf an <br />• Print your name Mtl fltltlraie On Vle AYerY of dlb form W Wt W nArr return dlls <br />Cen11^ yyOU axes fee): <br />$ <br />. <br />tbrh mk arm tome front of du mellpleoe, or on rlu luck N apace <br />• <br />tloaa rot <br />1. ^ Addressee's Address 1 <br />ppe <br />~ s Wn' ed'Retum Recelpl Ragrusrod•on the mailpiece below me eMtle <br />• number. Z. ^ Restdded Delivery <br />s The Return Recapl will Now to wtnm Na erticlo was OelNerstl and <br />'$ tlenvered. dls tlate <br />C.OnsUR postmaster for lee. <br />ti _ <br />~ Article Addre d to: 4a. rtiW r / / ~f'1 <br />/ ; <br />l <br />/ <br />/ <br />/ <br />a <br />n <br />s ~ ~ ~ a ~ b ~ v <br />l <br />J <br />Y <br />4b. Service Type y/ <br />^ Registered Id Certified <br />/ <br />` ~ <br /> Insured <br />^ Express Mall <br />^ <br />^ Return Receipt for Merchandise ~ ^ COD ~ <br />~ <br /> <br />•. <br />J 7. Date of Delivery 1 <br />5 <br />C <br />• <br />i ~ <br />5. Received By: (Pont Name) 8. Addressee's Address (ony i!r vested Y <br /> and /ee is paid) <br />6. Sipnatu ddressoe or Age / <br />X <br />PS Formkl811.`t5ecember lass + Domestic Return Receipt <br />.~ <br />peC /,~/ <br />Z =, 4 3 4,,~y 4 ~. ~rp ~l . ` <br />lls F~oSWI Service ~~ <br />Receipt for Certified M I <br />No Insurance Coverage Provided. <br />Dofwf urn Inr Intamafinnal IUna /Cm ~e..e2er . , <br />m <br />rn <br />a <br />n <br />Q <br />O <br />m <br />M <br />li <br />N <br />o. <br />1 <br />~r <br />IP C <br />Postage SM . ~J <br />Certified Fee ~ e~/Q <br />Spedal Delivery Fae <br />Resettled Delivery Fae <br />Return Rectrpt Showing <br />Whom 8 Date DeGVe 5 <br />Sn <br />Return gecegl Showeq <br />Dale, 6 rddressee's lr <br />U <br />TOTAL Postage 8 <br />P06tmark or Date / <br />'6'~S31tl159+ <br />i <br />0 <br />lA <br />CV <br />E <br />i~ <br />G <br />L <br />M <br />M <br />c~ <br />It <br />J <br />