Laserfiche WebLink
,ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Complete items 1,2,and 3.Also complete A. Si nature <br /> item 4 if Restricted Delivery is desired. c _ ®Agent <br /> ■ Print your name and address on the reverse X `'� '' ❑Addressee <br /> so that we can return the card to you. g R _ ' ted Name) l C. Date of Delivery Z <br /> ■ Attach this card to the back of the mailpiece, 4 - <br /> or on the front if space permits. 1� <br /> every addres rent from item 1? ❑Yes • <br /> I. Article Addressed to: �► N <br /> f 1'L v;t r deliv dress below: ❑No <br /> M N v M 1 0 <br /> fin.. U N <. r« CD u, <br /> W CD <br /> Marcy_Brossman ': N� ? CD <br /> 3 r+ °, <br /> Cheyenne County N3�3 C) , °, M o � D <br /> P.O. Box 567 3. Service Type O 2) M O CD CO) <br /> fi(808 <br /> p <br /> v <br /> Certified Mails ❑Priority Mail Express- _ N LA -% a. -0 rn <br /> Cheyenne Wells, CO 80810 ❑ Registered ❑Return Receipt for Merchandise = O 3 O <br /> El Insured Mail ❑Collect on Delivery _ w .< m <br /> * -t 4. Restricted Delivery?(Extra Fee) ❑ OYes - � 3 � � <br /> >. Article Number 7 014 2120 0001 7871 1004 — O `5- f <br /> (transfer from service label) _ 3 p 3 <br /> 3 C CD <br /> IS Form 3811,July 2013 Domestic Return Receipt = N 3 <br /> n20 MM rL <br /> n <br /> Vf Nfl! <br /> M Cl) <br /> G CD <br /> CL <br /> T N N <br /> ro M 'l7 <br /> n <br /> O O -0 C-0-Ti <br /> O Cr Coto n <br /> Ca <br /> • G) -g <br /> cD d <br /> O N- <br /> -0 <br /> fl1 <br /> a <br />