Laserfiche WebLink
Postal <br /> co CERTIFIED MAIL. <br /> RECEIPT <br /> r-q <br /> - <br /> r-q <br /> o (Domestic Mail Only; <br /> Ir <br /> ., <br /> ro <br /> rq <br /> M Postage $ <br /> M <br /> M certlned Fee <br /> E3 Postmark <br /> C3 Return Redept Fee Here <br /> (Endorsement Required) <br /> Restricted Delivery Fee <br /> -0 (Endorsement Required) <br /> rl.l <br /> R1 Total Postage&Fees 1$ <br /> M <br /> O Sent To�(-t _ I^f <br /> O /� <br /> - <br /> - ++ <br /> Sliest dpt.No.: <br /> or PO Box No. IiV^-') J lCi L------------'----`-�� -------------------------- <br /> City State.ZIP+4PS Form / <br /> :rr2002 �j <br /> SENDER: • •N COMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3.Also complete A. Sign <br /> item 4 if R��� ❑Agent <br /> ■ Print your,all res n heverse ❑Addressee <br /> so that we r t c B. Receiv y(Printed C. Date of Delivry <br /> ■ Attach this card to the back of the mailpiece, �� t� �-(o [� <br /> or on the front if 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 /> FI`TSntl 3- Ti cam, 0.12 <br /> G1# �i C kr b& RL)e b'ab�rD <br /> I 5an <br /> Q � CA 3. Service Type <br /> j <br /> Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7003 2260 0003 3185 9018 <br /> (transfer from service label) Q V F <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 <br />