Laserfiche WebLink
DSENDER: I also wish to receive the <br /> ■Complete items 1 and/or 2 for additional services fOIIOWIn for an <br /> H ■Complete items 3,4a,and 4b 9 services <br /> (D ■Print your name and address on the reverse of this form so that we can return this extra fee) <br /> card to you t <br /> at ■Attach this form to the front of the mailpiece,or on the back if space does not 1 ❑ Addressee's Address <br /> ipermit <br /> ■Write"Return Receipt Requested"on the mailpiece below the article number 2 ❑ Restricted Delivery <br /> r ■The Return Receipt will show to whom the article was delivered and the date u <br /> delivered Consult postmaster for fee <br /> o 3 Article Addressed to. 4a.Article Number <br /> d -iL000 0600 00,,3 3 TL9 M5 c <br /> a San Juan Cty Histor. SOciet 4b Service Type <br /> o P.O. BOX 154 ❑ Registered 0 Certified <br /> ° Silverton, CO 81433 t <br /> ❑ Express Mail ❑ Insured <br /> Cn <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7 Date of Delivery <br /> c a <br /> cc 5.Recei y: int N me) 8 Addressee's Address(Only If requested <br /> w and fee Is paid) <br /> c 6 Signature (Addressee or Agent) F <br /> 'o X <br /> 2' PS Form 3811,December 1994 102595-98-B-0229 Domestic Return Receipt <br /> i <br /> Postal <br /> CERTIFIED <br /> ecelVed <br /> (DomesticOnly, <br /> 01 Er <br /> OV/ r Postage $ <br /> oryision O ngo Fuld �r m Certified Fee -9 0 Q V <br /> f Ml �./- 1MMOiark j <br /> ne�a/s �e m Return Receipt Fee u/ 1`1`yie <br /> Geoi M (Endorsement Required) 5 O <br /> O r, <br /> 1-3 (Endorsement <br /> Delivero Fee <br /> (Endorsement Required) <br /> O Total Postage&Fees <br /> p Name(Please Print Clearly)(to be completed by mailer) <br /> o an Juan County Historical Societ -, <br /> o VOItl bx PT54o <br /> - - ---------- -- - --------- i <br /> o ------------------------ - i <br /> � City,State,ZIP+4 ------------- --------------------------- <br /> Silverton, CO 81433 <br /> TS Form :.. <br />