Laserfiche WebLink
.~ <br /> <br />~ '• • - <br /> <br />~ - - - <br /> <br />-., ,Y <br />, <br /> - <br />m <br />,~ Postage $ ~t?.8O 4543 <br />p <br /> Certified Fee <br />p Return Receipt fee Postmark <br />~ (Endorsement Required) ~~ ~ 15 Here <br />~ Restricted Delivery Fee <br />p (EntlorsementRequired) $Q~Q~ <br />p Total Postage & Fees $ $5,(yQ (13/?1/c'()08 <br />m <br /> <br />p ent o <br />~ <br /> <br />~ Street, Apt. No.; - "- " ' "' ' - <br />--- <br /> or PO Box No. <br />Cit <br />S <br />Z <br />~ <br /> y, <br />tete, <br />1P+ <br />~a~.. >o <br />:~~ ~,. AS D~ ~- <br /> <br />~mplete items 1, 2, and 3. Also complete <br />:m 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 />1. Article Addressed to: <br />//00 Lot~,tSlAV~ S7~ee7" <br />f~o~s,~,--, i~,~rA~ ~ ?~oz <br />A. Signa ure <br />^ Agent <br />X ~ i t ^ Addressee <br />B.~ dived by (Pn ted Name)/~~~ C. Date of Delivery <br />- ra/~~_ H 1 ill QY7ll '~1/~.~• '~'`s. <br />D. Is delivery address differen4fr m item 1? ~ ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Se Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise ~ <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7007 3020 0002 0530 6294 <br />(transfer from service /aben <br />PS Form 3811, February 2004 Domestic Return Receipt 5-02-M-1540 <br />