Laserfiche WebLink
P 590 X24 572 <br /> us P, tal S � 1� <br /> Receipt orLrfifi� il <br /> ULTRAMAg _ <br /> P O BOX 466 <br /> HA"ORD CA 93232 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Ln Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Return Receipt Showing to Whom, <br /> `:( Date,&Addressee's Address <br /> C <br /> 0 TOTAL Postage&Fees $ <br /> Postmark or Date <br /> u pl` <br /> SE CL <br /> "o let it e ndior 2 for additional services. <br /> !(ompJete items 3,4a,and 4b. <br /> w ■Print Your name an address on the reverse of t ' I aISO wish to receive the <br /> card to you, following services{for an <br /> > !Attach this form t th fron f we can r m t 's <br /> J . 8 <br /> d permit, he pace no 1ns <br /> ti <br /> a) ■Write•Retum R ipf R 1 ❑ Addressdress <br /> « sThe Return Recei how to who 31te article was deli e <br /> C delivered. nd the date• 2. ❑ Restricted Delivery m <br /> m 3.Article Addressed to: Consult postmaster for fee. a <br /> m 4a. rticle Number ar <br /> ULT a� <br /> RA k4.R ¢ <br /> P L`Y 465 b.Service Type <br /> ][NFORJD CA 93232 ❑ Registered d <br /> W Certified 2 <br /> °C Certified Mail <br /> Insured <br /> ❑ Return Receipt for Merchandise y <br /> a ❑ COD <br /> z 7.Date of Delivery / o` <br /> 16- 5. Received By:(Print Name) <br /> XWX 8.Addressee's Address(Only if requested <br /> and fee <br /> c 6.Signa e: Add ssee or Ag ) ar <br /> 2x,fi , <br /> PS o , December 1994 <br /> Domestic Return Receipt <br />