Laserfiche WebLink
SENDER: COMPLETETHIS SCPO <br />C Date of Delivery <br />El Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Deriver/ 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 />R �11 '• <br />0)01 <br />► ��. I lb EFM004 <br />q' <br />2. Article Number <br />U- <br />0 <br />calved by (,� Nam) <br />D. is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. S rvice Type <br />Certified Mail <br />0 Registered <br />© Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />(lransferfromservice labe!) 7009' 2820 000 3268 8696 <br />PS Form 3811, February 2004 Domestic Return REOeipt <br />0 Yes <br />0 Express Mail <br />® Return Receipt for Merchandise <br />® C.O.D. <br />102595 -02 -M -1540 <br />