Laserfiche WebLink
e <br /> P 137 892 808 <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provided <br /> ,milir Do not use for International Mail <br /> POSTAL SERV. <br /> (See Reverse) <br /> Se16. k <br /> BSc <br /> Street and No <br /> LIS O OrckarcL a-r K-'c,Cgd[ <br /> o,State and ZIP Code k,0 s�3•�� <br /> Postage J $ <br /> . 6251 <br /> Certified Fee <br /> 00 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> 1- Return Receipt Snowing <br /> p� to Whom&Date Delivered `.CD <br /> Return Receipt Showing to Whom, <br /> c Date,and Add• • ' Address <br /> TOTAL P .g., II ,y $ .19• &Fee <br /> •o <br /> o Pos .r'UN Z <br /> M U 8 <br /> cc)E <br /> 1999 <br /> L.L. <br /> Q. <br /> a USES SV <br /> ;; SENDER: <br /> 7 • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> rn • Complete items 3, and 4a&b. following services (for an extra 6 <br /> y • Print your name and address on the reverse of this form so that we can V <br /> � return this card to you. <br /> fee): > <br /> > • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address rjj <br /> does not permit. <br /> Y • Write"Return Receipt Requested"on the mailpiece below the article number. 2. El Restricted Delivery a <br /> • The Return Receipt will show to whom the article was delivered and the datezis <br /> C delivered. Consult postmaster for fee. y <br /> -0 3. Article Addressed to: 4a Article NumberCC <br /> d i <br /> a. 1-t•pt Sl37 g r <br /> E 4b. Service Type <br /> cc <br /> g 43 0 Or r4 Par k..., RO QQ E Registered E Insured <br /> CA w g Certified ❑ COD E <br /> ❑ Express Mail ❑ Return Receipt for 0) <br /> Merchandise <br /> G 7. Date of Delivery a 3 <br /> e/i o <br /> cccc 5. Signature (Addressee) 8. Addressee's Address (Only if requested. <br /> 0 and fee is paid) o <br /> m <br /> kil 6. Si nat,•,•0110A-nt) _,• 441kIr <br /> H <br /> a PS Form 3811, December 1991 Sr U.S.G.P.O.:1992-307-530 DOMESTIC RETURN RECEIPT <br />