Laserfiche WebLink
P- <br />141- <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 />Mason King <br />P.O. Box 68 <br />Cope, CO 80812 <br />99i 309 <br />A. Sig <br />0 Agent <br />L Addressee <br />B. Receiv by (Printed Name <br />G. Date of Delivery <br />D. Is delivery address different from item Yes <br />If YES, enter delivery address ow: C <br />QYNo <br />41 �p <br />o „ C :C <br />3. Service Type ) <br />❑ Certified Mailm E03 Priority iM <br />❑ Registered ❑ Return Receip erchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number 0 Yes <br />(Transfer from service label) 7 014 01.50 0000 9138 2388 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />l <br />ro • . • . , , <br />rn <br />ru Postage: <br />co 7certified Fee: $0.69 <br />� Return Receipt Fee: $3.30 <br />°' $2.70 <br />o R Total Postage $ Fees: <br />O (Endorsemern "w,..... $6.69 <br />M Restricted Delivery Foe <br />E3 (Endorsement Required) <br />! r) <br />ra Total Postage 6 Fees <br />0 <br />Sent To Mason King <br />_ P.O. Box 68 <br />El . ......................... <br />or PO Box No. Cope, CO 80812 <br />--- State, Z/ <br />City, P+I °-- °- - ........................... <br />PS Form <br />:0r August 2006 See Reverse for InstructioX <br />