Laserfiche WebLink
T� � <br /> S {'L <br /> �• <br /> . , <br /> - � �� ���- ��-Gr <br /> . <br /> � -� = • c.� <br /> m - <br /> � - <br /> ..o ; <br /> ..o - <br /> � . � ��� � <br /> Q" Postage $ ..t`i�y'"�A $j,�j' <br /> r-� A_ <br /> Certified Fee �.p�G , .�7�,g <br /> O D✓ <br /> p Return Receipt Fee Postmark <br /> � (Endorsement Required) �� �/^� �ry,Q �ee �o�� <br /> .✓V UV <br /> � Restricted Delivery Fee <br /> �cndorsement Required) � �` <br /> � <br /> � Total Postage&Fees $ 5� I � --��' / <br /> o �,a�^�s _ �c�,��� <br /> Sent To /�/�� �/�� <br /> � ------��"•� 1�"�IG,.+ <br /> � Street.A-----•r---�-- ----------- <br /> � '---•------- <br /> o,Po B o. ,3 --------------------- <br /> �- ----------- ----------�yn�_.f_#�_---- <br /> C�ty,State,PlP+4 -------------------------- <br /> ty�' ( rn,N ��g. <br /> :,, ,,. <br /> �� t34a tst r n�Ct rr,t�e.. - <br /> � � � . . <br /> . . . <br /> ■ Complete items 1,2,and 3.Also complete ��. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X " � <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B' R� bY(P hred Name) C. Date oi Delivery <br /> or on the front if space permits. �f � <br /> 1. Article Addressed to: �. �s delivery address different from item 1? ❑Yes <br /> H YES,enter delivery address below: ❑No <br /> Jac,l�- Ku�Iz. � <br /> 13?3 W�nn� A�/z <br /> ` 3. Service Type <br /> �` .�1 �,� �{1 f1� ❑Certified Mail ❑Express Mail <br /> �W ❑Registered ❑Retum Recetpt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Deliver�/T(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (fransferfromservJcelabe!) 7007 �22� 0000 1987 6638 <br /> ►'S Form�iti11, February 2004 Domestic Retum Receipt <br /> 102595-02-M-1540 <br />