Laserfiche WebLink
_` <br /> (DomesticU.S. Postal ServiceTM <br /> CERTIFIED MAILTrv, RECEIPT <br /> it <br /> F F1 C I K. 7F Irrt Posta , . <br /> M Certified F <br /> Return Receipt FPostmark <br /> t7 (Endorsement Requiref 'f 'Q Restricted Delivery F(Endorsement Requireu <br /> C3 <br /> N•,.,Total Poi <br /> sentro - Sam-Hirbod <br /> rn ...... <br /> . My Goods Market <br /> ,-3 deer,dpc 7180 Koll Center Pkwy., Suite 100 <br /> •p or PO Box. y., <br /> r%_ ciry'siaie; Pleasanton, CA 94566 <br /> T <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. so complete A. Signat <br /> item 4 if,Aekhcted btel Very INS; d. X ��_ J6 Agent <br /> ■ Print your na+*pJan ad fres on the reverse ❑Addressee <br /> ( so that wecan relUrti`li t11e C rd t 'you. . Rec ived by(Pnn ame), C. D e of elivery r <br /> ■ Attach this carr!to the back of the mailpiece, eV �,� <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1. ❑Yds <br /> If YES,ente l"U�"b�lV r <br /> � fiY�_�e \\lrrlY� i <br /> RD <br /> Sam Hirbod t <br /> My Goods Market 0C1 101 L'-j k <br /> 7180 Koll Center Pkwy., Suite 100 <br /> 4 Pleasanton.,.CA 94566 s. se iceryp <br /> l�?Certified Fh&ll"' ���� <br /> / ❑Registered � �t foT7vlerchandise t <br /> /' <br /> 13 Insured Mail' 13C.O.D. <br /> r <br /> • �� �. �-+Yv n�� UN�j. 4. Restricted Delivery?(Extra Fee) ❑Yes j <br /> 2. Article Number r , <br /> (Transfer from serv/ce labei) 7 013 2250 0.000 3397 :7966 <br /> I % <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> '.F 7— <br />