Laserfiche WebLink
d SENDER: (.� <br />�/ <br />O ■Complete items 1 and/or 2 for ad iti n I e3rvice's. <br />I also wish to receive the <br />H ■Complete items 3, 4a, and 4b. <br />following services (for an <br />d ■ Print your name and address on the reverse of this form so that we can return <br />w <br />this <br />extra fee): <br />card to you. <br />j ■Attach this form to the front of the mailpiece, or on the back if space does not <br />a; <br />1. ❑ Addressee's Address V <br />d permit. <br />■ Write'Return Receipt Requested' on the mailpiece below the article number. <br />2. ❑ Restricted Delivery rn <br />■The Return Receipt will show to whom the article was delivered and the date <br />o delivered. <br />Consult postmaster for fee. .2- <br />3. Article Addressed to: <br />4a. Article�7Numb�eer W 7- <br />zl, <br />e Type <br />LESTER SCOTT <br />d <br />tired D -Certified <br />574 W GRANT LINE ROAD <br />s Mail ❑ Insured c <br />TRACY CA 95376 <br />receipt for Merchandise ❑ COD <br />Delivery ° <br />o <br />T <br />5. Received By: (Print Name) <br />8. Addressee's Address (Only if requested <br />w <br />and fee is paid) r <br />¢ <br />6. Signature: (Addressee or Agent) <br />o X <br />0 <br />N <br />PS Form 3811, December 1994 <br />DomeStir Return Receipt <br />