Laserfiche WebLink
CE RTI FIED MAIL BE <br />C EIPT <br /> . <br />. <br /> 4do mestic Mait.Only ; No Ins urance C overage Provide <br /> wmm? <br /> :For:d eiiverv informatio n visit o ur website a t www.usps.come <br />m <br />M <br />Postage $ <br />O <br />Q Certified Fee <br />C3 Postmark <br />C3 Return Receipt Fee Here <br />r3 (Endorsement Required) <br />Restricted Delivery Fee <br />O (Endorsement Required) <br />M <br />ru <br />CD <br />0 <br />0 <br />r`- <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 />t'r-w ?"V y <br />?0 3? ?s 6 <br />A. Signature <br />E3 Agent <br />X ? Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />TOPAZ NIARTINE2 <br />D. Is delivery address different from hem 1? ? Yes <br />if YES, enter delivery address below: ? No <br />3. rvice Type <br />corned 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 />(rransferfromservice label) 7005 3,?30 CX0?p 0473 7117-5- <br />Domestic Return Receipt 102595-02-M-1 540 <br />PS Form 3811, February 2004