Laserfiche WebLink
r 3NI1 031100/V mod'SS3HOOV Ntl1113tl 3141 • <br /> 1HOItl 3H1 013dO13AN3 dO d0.1 IV 113N311S 3 • - <br /> ; L 1C AL:_ <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> • Print your name and address on the reverse X 0 Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? 0 Yes <br /> 1. Article Addressed to: ,, If YES,enter delivery address below: 0 No <br /> Ixiwv I'ihNiCd I,�` <br /> ei �YJ 1 1 � T- ) 3. Service Type <br /> �y�V� c2f.,Qgrtified Mail 0 Express Mail <br /> ❑Registered 0 Return Receipt for Merchandise <br /> 3-101�/ <br /> 7j^Q56 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> .__ (Transfer from service label) 7007 0220 0000 1987 7680 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />