Laserfiche WebLink
Postal <br /> C3CERTIFIED . Postal <br /> ECEIPT <br /> —(Domestic ...0 <br /> CERTIFIED MAIL,, <br /> • Coveragence Provided) Ln RECEIPT <br /> p- (Do-estic Mail OnIY;NO Insurance Coverage Provided) <br /> Ln <br /> ro <br /> Ln <br /> OFFICIAL USE <br /> 77 <br /> mJ(EndOrsementRequired) <br /> ostage $ EDUS <br /> M m F F 1 A 10, Coo" <br /> Postage $ <br /> piedFas <br /> p m <br /> ppt Fee p Certified Fee <br /> Postmark <br /> quired) Here C3 Return Reciept Fee Postmark <br /> p ry Fee (Endorsement Required) Here <br /> J3 quired) p Restricted Delivery Fee <br /> - -- _ •,D (Endorsement Required) <br /> Total Postai -- rlJ <br /> M WELDON&MARILYN C rU Total Postag. <br /> pLo '-958 YOSEMITE RO HURCHpERKELEY mSento LACYSKELTON <br /> CA94707p •----•-•- 104 W BEVERLY PLACE <br /> 1V BEVERLY r- Sneer Api IQFTRACY CA 95376 <br /> RTNTOVMof PO Box No.Cty State,ZlR rr <br /> :rr rr <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. Signa re <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that wftre�r�tfQ(��to you. ❑Addressee <br /> ■ Attach this Car tot e a of the rtlailpiece, B. Received by(Printed Name) C. at of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 0 e <br /> If YES,enter delivery address below: ❑ No <br /> ♦ ..r <br /> NqFDON&MARILYN CHURCH <br /> YOSEMITE ROAD 3. S rvice Type <br /> B1BEKELEY CA 94707 r <br /> Certified Mail ❑Express IGAsI��,:. <br /> 104 W BEVERLY RTN TO VMRegistered ❑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 labe, 7003 2260 00133 318 5 6901 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />