Laserfiche WebLink
¦ 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. G iJ <br />¦ Attach this card to the back of the pie <br />or on the front if space permits. <br />1. Article Addressed to: t <br />u.. <br />A. Signature <br />X Agent <br />Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address drfferent,from item 12 ? Yes <br />If YES, enter delivery address below: ? No <br />= Gene Hollenbeck ? t <br />Hollenbeck, Inc. <br />P.O. Box 902 <br />Gunnison, CO 81230 <br />3. Service 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 />Article Number 7006 3450 0000 4880 1060 <br />(Transfer from service labeq <br />=orm 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />-+, <br />fl u-+, <br />F'r2 ? i???tr