Laserfiche WebLink
N <br /> US, Postal Service <br /> CERTIFIED MAIL RECEIPT <br /> (Domestic Mail only; No Insurance Coverage Provided) <br /> m <br /> Ul Postage $ <br /> O <br /> W Certified Fee <br /> C121Return Receipt Fee Postmark <br /> rU (Endorsement Required) Here <br /> C3 Restricted Delivery Fee <br /> (Endorsement Required) <br /> 1=1173 Total Postage <br /> �11 KEN GREEN <br /> p Recipient'sNa) <br /> USA SAN DIEGO LLC <br /> E3 SMU0, Apt Ne., 30101 AGOURA CT / 200 <br /> O _- <br /> --------------- AGOURA HILLS CA <br /> � crry, crate, zrat <br /> OWN <br /> SENDER : COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1 , 2, and 3. Also complete A. Received. by (Please Print Clearly) B. Date fje ' ery <br /> item 4 if Restricted Delivery is desired. (/r5 OG <br /> ■ Print your name and address on the reverse44 <br /> so that vv�pqpp�� rq�url� tY� d to you. C. Signa <br /> ■ Attach tME le l6 irl6AISAtbf the rno"Tv X <br /> 11 Agent <br /> or on the front if space permits. 111,11 ❑ Addressee <br /> D. Is d ivery address different from dem l ? 11 Yes <br /> 1 . Article Addressed to: If YES, enter delivery address below: ❑ No <br /> KEN GREEN <br /> 3. Sewice Type <br /> USA SAN DIEGO LLC1{ Certified Mail ❑ Express Mail <br /> 30101 AGOURA CT #200 ❑ egistered ❑ Return Receipt for Merchandise <br /> AGOURA HILLS CA 91301 ❑ Insured Mall ❑ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ❑ Yes <br /> Article Number (Copy from service label) <br /> -7zl V 81�E JUIy 199 Dom to Retum ceiPt 102595-00-M-0952 <br />