Laserfiche WebLink
~. <br />-~;' - ~ mplete items 1, 2, and 3. Also complete <br />~+ - aF m 9 if Restricted Delivery is-desired. <br />li~ nt your riarne and address an the reverse <br />7 +that we can return the card to you. <br />^ ach this card to the back of the mailpiece, <br />on the front if space permits. <br />-'f,'-~. icle Addressed to: <br />~/'~ 57 .S~',r~Ctil.~ Tl ~ ~ <br />~~j w)~u%y! 3~.~o~s <br />~D~S/ <br />2. ArtIGe Number <br />(Tiansler imrn service la6eq: ~ OCi O <br />A Signa[ re <br />X -:sir.; <br />/~v ~ 9~~- 0 7~ <br />~~/-moo s~= o spy <br />~1' r~°~ <br />^ Ager~' , <br />ecelved by (Printed Name) C. Date bf D~jv,'aty', <br />D. Is delivery address dirterem from item 1? ^ Yes <br />If YES, entef delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchartddlse <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery! (Extra Fee) ^ y~ <br />PS Form .9$11, August 2001 pomestic Return Receipt <br />y <br />o- <br />0 <br />rv <br />r- <br />p Postage <br />"'~ <br />m Certified Fee <br />~ R¢turn Receipt Fee <br />~ (Endorsement Requimtl) <br />Q -Restricted Delivery Fee <br />~ <br />p lEntlorsemen[ Required) <br />0 Total Postage ~ Peea <br />f`- <br />~ Sent io <br /> r~--~~s <br />Q` S/L <br />0 <br />o S i, Apt.N rPoE <br />~~ ~O ~/ <br />O State, Zlp+d <br /> <br />