Laserfiche WebLink
. � <br /> � , 1 � w <br /> � <br /> � �� � <br /> � <br /> � <br /> � � <br /> � Postage $ �. �5 Y MA' <br /> QCertifled Fee Z �O �P 'v SiS�N <br /> Return Recelnt Fee Post ar w <br /> Q (Endorsement Requlred) 2,3� } �o� �6'� <br /> Restricted Delivery Fee <br /> � (Endorsement Requlred) <br /> � Total Postage 8 Fees � ��I � UcjC� <br /> O <br /> � Sent To <br /> p S{reef.Apt N���---�=--Susa�---��i-l---------------------- <br /> � orPOBoxN. `35 �v�•__�']lnr p <br /> ------------------------------- - `I'l�l1L.�---------------------------------- <br /> City,State,Z + <br /> � I <br /> :�� ��. <br /> � • � _ <br /> � r • � <br /> ■ Complete items 1,2,and 3.Also complete '�:-~signatu�e � <br /> item 4 if Restricted Delivery is desired. ' - <br /> ■ Print your name and address on the reverse X � .� `� ❑Agent <br /> so that we can return the card to you. - ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B•. Received�by(Print�d Name <br /> i ) C. D e of D livery <br /> or on the front if space permits. ' : 5�r�� , � <br /> 1. .";rticle Addressed to: D. Is delivery address different from item 1? Yes <br /> If YES,enter delivery address below: ❑ o <br /> �e-le� � �U.s,av� �a2.i 1 <br /> �� �vy �la� <br /> \���\/-7/��� I'h� `�� I 3. Service Type <br /> �� r L'�'� ,�Certified Maii ❑Express Maii <br /> ����fegistered ❑Retum Receipt for Merchandise <br /> ❑Insured Maii ❑C.O.D. <br /> 4. Restricted Deliveryn(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Tiansferfromservicelabel) ��07 022� 0��p 1989 7589 <br /> PS Form 3811,February 2004 Domestic Return Receipt ' <br /> 102595-02-M-1540 <br />