Laserfiche WebLink
4 <br /> k <br /> i <br /> Z 12.8 " 78q 256 <br /> yqC3 3A us Po,.-WS-e.1116a <br /> Receipt for Certified Mail ' <br /> . f��NAJILsftra[Icaf.r�uarstaQ-�rn�rid�i - <br /> W T JORDAN & M COTRS <br /> 1101 HOLLY DR <br /> TRACY: CA- 95376 r <br /> k <br /> Special Delivery Fee <br /> 1 Restricted Delivery Fee <br /> Retum Receipt She to c <br /> Whom&Date Deli re <br /> aRetum Receipt 5howvlg <br /> a Q Date,�Ad <br /> . t dressee's <br /> O i <br /> IOTA p <br /> Postm or to <br /> � - r <br /> .r <br /> .F <br /> �• <br /> p S R: 1 also wish to reef a the follow- <br /> 1 <br /> ❑Complete items 1 and/Wlhemailpiece, <br /> ices. ing servi es(for an extra fee): <br /> m ev Complete items 3,4a, <br /> t �. ❑Print your name and ao hi so an return this (% dy � � • �. <br /> � card to you. 1• ❑ Addressee's Ad ress 9 <br /> E! 0 Attach this form to the or the back if space does not y + <br /> Q permit. 2. ❑ Restricted Delivery <br /> .t •i5 Write'Retum Receipt Requested'on the mailpiece below the artid er. <br /> C]The Return Receipt will show to whom the article was delivered Q# <br /> p delivered. <br /> ,4a.Article N mbe m t <br /> c � W T. -;JORDAN & M COTRS 4b.Service Type �. <br /> r. 1101 HOLLY DR ¢ } <br /> � _ � ❑ Registered rtified t <br /> w TRACY CA 95376 ❑ Express Mail Insured m <br /> a Y <br /> s C ❑ Retum Receipt for Merchandise ❑COD <br /> 7.Date o Dellliive G <br /> tx iD r I 0 <br /> B.Add essee' Ad s(Only if requested and c f <br /> ¢ fee is paid) t <br /> F � <br /> oI�Aigna e-(A ress a orAgent) <br /> 0 <br /> _ r <br /> PS Form 3811,December 1994 102595-99-e-0223 Domestic Return Receipt <br /> r <br />