Laserfiche WebLink
U.S. Postal Service 11.1 <br />CERTIFIED MAIL . RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com <br />■ Complete items 1, 2, and 3. Also complete <br />item.4 if Restricted Delivery is desired. <br />■ Print your name and ddr%ss o h verse <br />so that we can re itt <br />■ Attach this card t b it th llpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />GEORGE BARBER <br />29247 BENSON FERRV"RD <br />THORNTON CA 95686 <br />A. <br />X <br />❑ Agent <br />Received in �yyppName)f C. Date of `Dlelivery( <br />D. Is delive e <br />V <br />❑Yes <br />If YES, l r ry No <br />07 12 2011 <br />sAC'erfif, <br />o ENTAL HEALTH <br />ed Wi MMegistered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 2780 0000 6637 4366 <br />(transfer from service label) — <br />102595-02-M-1540 <br />Ps Form 3811, February 2004 Domestic Return Receipt <br />' - a <br />r /�h`�`/ <br />, <br />Certified Fee <br />postmark <br />p <br />p <br />Return Receipt e <br />Here <br />p <br />(Endorsement Req <br />ED <br />Restricted Delive <br />(Endorsement Require <br />O <br />1:0 <br />P- <br />ru <br />GEORGE BARBER <br />p <br />RD <br />0 <br />29247 BENSON FERRY <br />CA 95686------------------- <br />r <br />THORNTON <br />■ Complete items 1, 2, and 3. Also complete <br />item.4 if Restricted Delivery is desired. <br />■ Print your name and ddr%ss o h verse <br />so that we can re itt <br />■ Attach this card t b it th llpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />GEORGE BARBER <br />29247 BENSON FERRV"RD <br />THORNTON CA 95686 <br />A. <br />X <br />❑ Agent <br />Received in �yyppName)f C. Date of `Dlelivery( <br />D. Is delive e <br />V <br />❑Yes <br />If YES, l r ry No <br />07 12 2011 <br />sAC'erfif, <br />o ENTAL HEALTH <br />ed Wi MMegistered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7010 2780 0000 6637 4366 <br />(transfer from service label) — <br />102595-02-M-1540 <br />Ps Form 3811, February 2004 Domestic Return Receipt <br />' - a <br />