Laserfiche WebLink
■ Complete items 1, 2, and 3. Also complete <br />item 4 if Re Is <br />■ Pn.nt your n� : verse <br />so that we��hhh ar <br />■ Attach this card to the back of mits. rthe ai ' c <br />or on the front if space perD r( <br />r, <br />1. Article Addressed to: <br />Nov 2 <br />STATE MILITARY DEPARTMENT <br />9800 GOETHE-PO BOX 26910MIRORML <br />SACRAMENTO CA 95821 PERMIT/,,; <br />2. Article Number <br />(Transfer from service labe <br />A. Signature <br />X ~-B-Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />'0. lk* ery address different from item 1? I1 Yes <br />If YES, enter delivery address below: ❑ No <br />2002 <br />I HEALTHNOV 2 0 2002 <br />,%nnrc, <br />3. See Type <br />LTJ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7002 2030 0003 8788 7791 <br />EPS Form 3811, August 2001 Domestic Return Receipt <br />102595.02 -M -154C <br />