Laserfiche WebLink
Lr) <br />r=I <br />17-a <br />nj a. <br />T 8 <br /> . I <br />M Postage $ S1.14 0543~,,.......-.... <br /> Certified Fee $2.65 45 <br />' <br /> <br /> Return Reciept Fee <br />(Endorsement Required) Q.15 <br />LL. <br />? <br />,-j Restricted Delivery Fee <br />(Endorsement Required) $0'00 <br />1 } }° <br />Y a <br />" <br />r q <br /> <br />f7l <br />ry Q? <br />:5. ! f <br />" .p/.Y <br />?" 4J <br />0 <br /> Total Postage Fees <br />/ <br />M <br />O <br />o Sent To <br />T--- - --ReCD,'----- -------- <br />`t <br />r- reet, Apt. No.; <br />b <br />or PO Box No. ?fl? 8 <br />l <br />? <br /> .... <br />_S L ... ,. <br />. <br /> Ciry, State, ZfAr4 <br />e,+?wen S <br />?i L' v g/6 0 ? <br /> Form 3800, June 2002 See Reverse for Instructions <br />¦ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery Is desired. <br />¦ Print your name and address on the reverse JEAN ALBERICO ? Agent <br />x <br /> <br />so that we can return th <br />d t ? Addressee <br />e car <br />o you. <br />¦ Attach this card to the back of the mail <br />ie B. Recei("i? N 6 Delivery <br />p <br />ce, <br />or on the front if space permits. <br />109 - 13th Si 4 Z I I I T <br />Z o5 <br />1. Article Addressed to: <br />? D. Is delive ?ad?d=different from item 1? ? Yes <br />If YEp <br />y0 L <br />l <br />?i p <br />/4R r?CLj C Bt?iV? C?iL1????'? ? <br />Ndi <br /> <br />pa_ <br />SjP?T Sv??ie ADD <br />l09 <br /> <br /> 3. ce 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 <br />(iransfer from service ?ab 7003 3110 0001 3524 1715 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1 540