Laserfiche WebLink
• 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 />0 - IM «. <br />A. <br />X` <br />CI Agent <br />❑ Addressee <br />B ceived by (Printed Name) 10. Tate f Delivery <br />D. Is delivery address different from item 1 ?1 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Darrel Ritchey <br />36415 US Hwy 385 <br />PO Box 425 3. Service Type <br />Wray, ^7 p {Certified Mail® ❑ Priority Mail Express`" <br />y, CO 80 / 58 ❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 4223 <br />(transfer from service label) _ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />m i (Domestic Mail Only; No Insurance Coverage Provided) _ZZ <br />Er <br />Ln <br />"' A, ,. .. 5 <br />� `,x$0.69 <br />M Postage: <br />$3.30 <br />� Certified Fee: $2.70 <br />o Return Receipt Fee: <br />Q R, <br />ED (Endor. Total Postage & Fees: $6.69 <br />o Restri <br />C] (Endors <br />Lr) <br />rq Total Postage 8 Fees <br />O <br />Dull, ,v <br />C3 or Sneer, Apr. Ao.; <br />or PO Box No. <br />City State, YO; W — <br />Darrel Ritchey <br />Ritchey's Red Mix & Precast Inc <br />36415 U.S. Highway 3135 <br />P.O. Box 425 <br />Wray, co 80758 <br />