Laserfiche WebLink
SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. 0 Agent <br /> ■ Print your name and address on the reverse X 0 Addressee <br /> so that we can return the Card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, r 1 �/s <br /> or on the front if space permits. dre- G(/ <br /> D. Is delivery address different from item 1? 0 Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: 0 No <br /> NCCA OF SDA <br /> PO BOX 23165 <br /> PLEASANT HILL CA 94526 <br /> 3. Setegist <br /> vice Type <br /> I P ertifwo <br /> RE 2962 S B STREET., STKN. e`rec�,I� e inRor Merchandise <br /> 0 Insured M�iIEF'' 9 <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number 7003 2260 0003 31,85 7601 <br /> (transfer from service/abeQ <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 <br />