Laserfiche WebLink
L 128 78 <br /> y 295 <br /> us Posw (;ertdied WASh --- <br /> R�►ptlor <br /> RICA FIS13 <br /> V0 BOXT90EK 94598' 300 <br /> WAI+tN <br /> T CPS <br /> Y- <br /> Fee <br /> Wool Dylivery Fee <br /> WIncred Delivery Fee <br /> rn Relum PloO,981ivarto <br /> On Who hoata <br /> Remm ReceNt IVW, <br /> , Ares <br /> pale,b��� <br /> p TOTAL Postage 6 Fees <br /> Go Postmark or Date -- <br /> E <br /> 0 <br /> u- wish to receive e <br /> S rn 1 also eCNDlces(lot an <br /> _ a followin <br /> fet+� O U Y <br /> cbn return this extra Address Z <br /> Bion �'�� T � Addressees <br /> — ----- <br /> - Dete Hama t endlor z wr mf ,�,m ap'Q'°1 not Delivery <br /> ba,end an- the r 'C/ 2 RBStflCted <br /> S se,iterna and address the back il aP <br /> a <br /> not your name a hoot at the mellPlece•or on ow the Ole Oonsult Postm <br /> ,1 fwrd to You. d <br /> h aster for e <br /> ° •Attach t 1a form to th on the mailPiece o°deliver be <br /> ppee i t Feguestedhom rhe article w 4a.ARicle Number e <br /> W to et'Retum fle�W111 show tow ° <br /> � ' Z <br /> r <br /> delivered ReceiP <br /> Service <br /> �YPe "f1� Certified 6 <br /> 4b.SeN ) 'I °t <br /> ° RICHARD plSii 0 Registered Insured a <br /> DEL MON <br /> TE ExPress Mail C3 COD <br /> g'BOX 9004 94598- 300 �1`] RetumReceipitorMerchan r <br /> _ WWQT CREEK �r 7,Date of DeliveN <br /> All <br /> ,if requested <br /> ` ass <br /> (only = <br /> _- <br /> S.Addressee's Ad r <br /> and tee is pat <br /> 5.Rec <br /> 9SBe R <br /> 8Y'� (print Name) <br /> r Agent) omestic eturn Receipt <br /> e ( ! <br /> 6.SI 102595'98-8-0229 <br /> > Form 3 1 ,Decembe <br /> 9 q <br /> pS <br />