Laserfiche WebLink
COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ <br /> Complete'e 1 3.Also complete A. Signature <br /> item 4 if s e ery I X J ❑Agent <br /> ■ Print your a res h reverse sL ❑Addressee <br /> so that we a e t e ca B. eceived by(Printed Name) C. Date of Deliver <br /> ■ Attach this car to the back of the mailpiece, <br /> or on the front if space permits. S <br /> D. Is delivery ress.,differotfrom item 1. es <br /> 1. Article Addresse to: rte <br /> If YES,enter,„dcNiyery ad'lass below: ❑ No <br /> d ne- <br /> rr s ry <br /> (1�1� Kd . <br /> c C 5Z l 0 3. ervice Types <br /> t Certified 1�iTf E-1 E=ess Mail <br /> y` <br /> ❑ Registered r—:b RfMrn Receipt for Merchandise <br /> ❑ Insured �;' -U C <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7003 2260 0005 3185 9148 <br /> (Transfer from se ice label <br /> PS Form 3811,F bruary 2004 Domestic Return Receipt 102595-02-M-1540 <br />