Laserfiche WebLink
• P 5 XGY <br /> u5 P Svlcer <br /> Receipt foCertified Mail <br /> MR TSIRELAS <br /> .1137 ROOSEVELT <br /> TRACY CA 95376 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> '- Whom&Date Delivered <br /> Q Aetum Receipt 5tawing to whom. <br /> a Date,&Addressee's Address <br /> O <br /> 0 TOTAL Postage&Fees $ <br /> �? Postmark or Date <br /> 0 <br /> LL <br /> rn <br /> ' a <br /> h Com` <br /> 47 <br /> ■Complete items 1 and/or 2 for additional services. Iso Wish to receive the <br /> ■Complete items 3,4a,and 4b. f011OWlrlq SBrVICBs(fo <br /> 0- ■Print your name and address on the e"piec.eelow <br /> t e tum this Xtra ftp' 1 8 <br /> card to you. 4WL'! 1 <br /> ■Attach this form to the front of the ail u <br /> permit. 1. ❑ Addressees Address <br /> to�Wdte'Retum Receipt Requested'on tarticle number. Z ❑ Restricted Delivery N <br /> r ■The Retum Receipt will show to whom the article was delivered and the date <br /> e delivered. Consult postmaster for fee. Q. <br /> 3.Article Addressed to: _ ANun)bar <br /> [� L� d <br /> a MR `151RELA5 7 E <br /> 0 1137 ROOSEVELT 4b.Service Type 7 <br /> TRACY CA 95376 ❑ Registered � Certified W <br /> tL ❑ Express Mail Insured E- <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> a 7.Date of Delivery w <br /> 5.Received By: (Print Name) 8.Addressee's Ada ess(Only if requested <br /> and fee is pai m <br /> r <br /> 6.Signature: (Addressee or Agent) ~ <br /> k-6 <br /> N <br /> PS Form 3811, December 1994 v Domestic Return Receipt <br />