Laserfiche WebLink
<br /> <br />0 .. <br />M1 ° <br />m <br />M );' .. <br />Ln <br />Q" Postage $ g <br />tr7 <br />Certified Fee <br />r <br />r <br />! z• p=•,Y? <br />U < <br />C3 Return Receipt Fee <br />O (Endorsement Required) y <br />ostmark G? <br />C3 <br />Restricted Delivery Fee <br />(Endorsement Required) Here <br />C_ <br />1J • Of? <4 ` r-, <br />r-3 <br />CO <br />Tot <br />l P Z <br />-a <br />a <br />ostage & Fees ? 4-4 `i! Ij3 <br />ru <br />Sent o <br />q <br />G Po G? ar <br />Sfr <br />-- <br />------- - <br />eef, Apt'AO'; <br />-- <br />C3 ----------------- <br />or POBox <br />rL No. 2'C V 2 6 '---•-•-------------'-•----- <br />City, <br />------------------------- <br /> <br /> <br />¦ 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. <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1 • Article Addressed to: <br />Dwight E and Julie A Proctor <br />24625 RD 23 <br />La Junta, CO 81050 <br />2. Article Number <br />(Transfer from service labe,?. <br />---- -- - -------- <br />PS Form 3811, February 2004 <br />B• ceiv "' <br />by (Printed <br />- I <br />-.t Agent <br />ddressee <br />C. 3aterelily? <br />D. Is delivery address different from item ,,?,r0-, Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />04-Cert?ed Mail 0 Express Mail <br />E3 Registered 0 Return Receipt for Merchandise <br />? Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />El Yes <br />------------- <br />7007 2680 0005953 637 <br />0 <br />uomestic Return Receipt <br />102595-02-M-1540 '