Laserfiche WebLink
A_ Signature <br />i, <br />X - -=f <br />Complete items 1, 2. and 3. Also complete <br />tem 4 if R Delivery is d es r5d. <br />A Print your nacre and address ol Ike rat: sa <br />so that we can return the cad to you <br />1 Attach ti's card to the back of the mallp,eoe, <br />cr on t. ^.e front if spare perm,ts. <br />At!de Addressed to: <br />011.1151 an fit QCIarfAck-f <br />XYtt 0.1 irAcA, f }Y\d <br />!) ( S), - ernGO.c 5`TIccrt <br />%09c <br />3 oerice Hype <br />1 E li'Rlfiea Mail <br />1 ❑ Registered <br />I 0 Insured Mail <br />2 rev icle N ber _7 115 1 1 0 1 $ `) c <br />(Transfer L <br />from, service Labe!) <br />PS Fcrm 3811, February 2004 <br />Do rest>C Return Receipt <br />Received b: 'Printer Alp ^�i <br />D. Is deliver/ address d"ffeect frcar, t <br />If YES, enter de, e -y adc =ess be:� •: <br />4. Restricted Delivery? (Extra Fee) <br />l <br />r, y 1 Address <br />Date, of D- =t ve -- <br />15 / 4 /% <br />1? ❑ Ys <br />❑ Express Mai <br />0 Return Receipt for Me-cha.ndise <br />C.O.O. <br />❑ Yes <br />1023es- Q-At -15-rC <br />