Laserfiche WebLink
, . . . <br /> � . • <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 ❑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 it space permits. <br /> D. Is delivery address different from item 1? �Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: �No <br /> ���an �- �Mol�y <br /> �}-Kiew icz- � <br /> /� � 3. Se ice Type <br /> Z��, ,�,�,y ��;- �ed Mail ❑6cpress Mail . <br /> ❑ Registered ❑Return Receipt for Merohandise <br /> ��,�I C `„�/ �A]��j�' ❑ Insured Mail ❑C.O.D. <br /> U� V� �v �� <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. �rt�°�eN"`"�r 70�2 �510 0001 6306 �872 <br /> (rransfer from service label) <br /> ; PS Form 3811,February 2004 Domestic Return Receipt �o2sss-o2-M-15ao; <br />