Laserfiche WebLink
ale <br />• i1? 2oo?/- oZ F <br />Postal If -ZI-ID <br />(Domestic CERTIFIED MAIL ... RECEIPT <br />Mail Only; No Insurance Coverage Provided) <br />M information For delivery m gn_?-= <br />1 $1.22 <br />r` postage, $2.80 <br />ru ce Certified Fee: Fee: $2.30 <br />C3 Return Re Return Receipt <br />M (Endorsement 1 <br />E3 $6.32 <br />r (Endorse eDnt F Total postage & Fees, <br />M <br />rU Total Postage & Fees $ <br />M <br />CO Sent To <br />(?..L}.ErUL:A <br />C3 <br />r` orPOeoxNo. SOW 1..----- <br />ary State ZlP*4 ?1 Ogg - <br /> <br />¦ Complete items 1, 2, and 3. Also complete A. Slgnature <br />item 4 if Restricted Delivery is desired. ?j ? Agent <br />¦ Print your name and address on the reverse X .? ? Addressee <br />so that we can return the card to you. B. R ceived by -(I"rinted Name) C. Date of Delivery <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery addn;ss different from item 1? ? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ? No <br />C 5 N, p\/l. Ft1.1?1C1 ri1., ?i"t? <br />_E16 `t 0 si vl ?V- ?e_ 'rCL +\ <br />-7t` -Y , AaI CO '2 1 O V- <br />3. Service Type <br />IF 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 7008 3230 0002 7253 3405 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt