Laserfiche WebLink
COMPLETETHIS SECTION • • ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑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 /> 1. Article Addressed to: D. Is delivery address ditEI <br /> vr- <br /> If YES,enter delivery I <br /> EC WATTS SEP 30 2011 <br /> 17010 N LOCUST TREE RD <br /> LODI CA -95240-9368 3. Service Type <br /> Certified Mail ❑E fpg j(SERVICES <br /> RE:17010 N LOCUST TREE RD-HW&AST RTN.AC ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7009 2250 0001 8334 4707 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />