Laserfiche WebLink
'_ _ �u ►�l <br /> � � � . . . . <br /> ■ Complete items 1,2,and 3.Also complete A. Si�n�at�ure , <br /> item 4 if Restricted Delivery is desired. X /J,J/� �� ❑Agent <br /> ■ Print your name and address on the reverse �-t�� ❑Addressee <br /> so that we can return the card to you. g, eceived by Printe Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, �.Lri,�fi��ti�'���� <br /> or on the front if space permits. �'� <br /> D. Is delivery address different from item 11 ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> ��1Pr �rQ�et'�i 2� L�-. <br /> � �, W�� 3. Service TYPe <br /> ``J�� �kified Mail ❑Express Mail <br /> W� �� I�/�� ❑Registered ❑Retum Receipt for Merchandise <br /> � t�� ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Deliver�/T(Extra Fee) ❑y� <br /> 2. Article Number <br /> (Transfer from service Iabe/J 7 0 0 7 2 6 8� �0�Z 3 4 5 7 2 0 9 6 <br /> PS Form 3811,February 2004 Domestic Return Receipt �o2sss-oaM-�sao <br /> ' � �'s. 1��5 I�1/�fl"�f <br /> . ���� <br /> . � , <br /> ..n .. . ;, r," , <br /> �, - - <br /> O - ro <br /> fU . � , �. <br /> C` �, <br /> � Postage $ �RYs r :�, <br /> m �•� �..__��`\�. <br /> Certified Fee `�` <br /> r1..� Postmark <br /> p Return Receipt Fee ` <br /> (Endorsement Required) Here <br /> � Restricted Delivery Fee �`� � <br /> (EndorsementRequired) �C:��- - <br /> O � 'I, <br /> � Total Postage&Fees $ 5� '�'�= - <br /> � � �3 ,��' <br /> Sent To w .� �,r,;w,.r*' <br /> O ••----------•-•---K------- --- --- -•- -------�-------------------------------------- <br /> O Street,A ' <br /> orPO Bo �--�----- ----�-`-:-------------�� � <br /> � ----- ----- - --------------------- <br /> City.Sta e P 4 �,.w� �� � <br /> 4V� <br /> :�� �i. <br />