Laserfiche WebLink
Postal <br /> (DomesticCERTIFIED MAILT,, RECEIPT <br /> Only; . .•. <br /> M <br /> For delivery information visit our website at www.usps.com <br /> ui <br /> I— <br /> `n Postage $ <br /> m certified Fee <br /> 0 <br /> 1:3 Postmark <br /> ReturnReGept Fee Here <br /> (Endorsement Required) <br /> O Restricted Delivery Fee <br /> r-R (Endorsement Required) <br /> rq <br /> M Total Postage&Fees $ <br /> M <br /> EDO ZgSG C <br /> ----------- <br /> orPOBox No. Z2,-fir...:__ .!'9{�__["f—----_�-as._.__- <br /> �"414,c +r, C—A '�)SZOZ— Z31j- <br /> Pq Form 0 <br /> • • <br /> COMPLETE • • <br /> ■ Complete items 1,2,and 3.Also complet *RecJ6dV <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. y(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 /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> 22- E w E�_ I_ „V- �L�� <br /> Q,_„ 3!;Q 3 Service Type <br /> •�• tel' Certified Mail ❑ Express Mail <br /> C A ❑ Registered ❑ Return Receipt for Merchandise <br /> S _Z1 ❑ Insured Mail ❑ C.O.D. <br /> J 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7003 31,10 0003 5254 3647 <br /> (Transfer from service label) <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />