Laserfiche WebLink
Y <br />?e <br />r-a-dt <br />9... T-6 <br />?fl <br />LL c, <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 />5? e-IMa\rvl 4 "- ,y 5`,V es <br />I y?? Co?v??y QvU? ? <br />? Agent <br />R ceive (PrIntediName) C. Date of Delivery <br />D. Is delivery address different from Item 1? Y. <br />If YES, enter delivery address below: No <br />a Service type <br />csaw mail o Express Mau <br />Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number X007 3020 0001 6340 2427 <br />(Transfer from service laben <br />PS Form 3811, February 2004 Domestic Return Receipt 102595'02401-1540 <br />(Domestic Only; No Coverage Insurance Provided) <br />IL For delivery information visit our website at www.usps.como <br />Ll, <br />Postage: $0:61 <br />$2:80 <br />rq Certified Fee: I <br />$2.30 i <br />C3 Retu Return Receipt Fee:", <br />O (Endorsee <br />° N$5:7 <br />Re <br />O stricts (EndorserTotal Postage & Fees:,. - ,, c) <br />ru <br />t7 Total Postage & Fees $ <br />M <br />r%- Sent To <br />? S?eftay?-,1: aVL& 2a S.,Ve-- ------------------- <br />p tree ,Apt IVo.; <br />or PO Box No. Ol7Vl <br />1.1.2_.. .. ?.... ------------------------ <br />C7ty,State,ZIP+4 `?k`^ (10 411M <br />PS Form :3800, August 2006 <br />See Reverse for Instructions