Laserfiche WebLink
Postal - <br /> PRECEIPT <br /> rt.l <br /> Domestic Mail Only <br /> Certified Mail Fee <br /> ExtraServices&Fees(check box,add as appropri <br /> � ❑Return Receipt(hardoopy) $ <br /> -e <br /> E3 ❑Return Receipt(electronic) $ Postmark <br /> C3 E]Certified Mall Restricted DelWery $ Here 7 L <br /> C--3 ❑Aduh Signature Required $ ���'I~ !• <br /> ❑Adult Signature Restricted Dellvery$ <br /> C3 Postage <br /> r-9 Total Pot MEAN KHIM <br /> CID $ 1004 S CHEROKEE LN STE A <br /> Sent To LODI CA 95240 <br /> 17� Siieei e� <br /> Re:PR0542616/PR0542615 Rtn:VVL ------- <br /> �iry;$tat <br /> COMPLETE SECTION <br /> COMPLETE • <br /> A. Signature <br /> ■ Complete items 1,2,and 3. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 17 Ll Yes <br /> If YES,enter delivery address below: ❑No <br /> MEAN KHIM <br /> 1004 S CHEROKEE LN STE A <br /> LODI CA 95240 <br /> Re:PR0542616/PR0542615 Rtn:VVL 3. Service Type ❑Priority Mail Express® <br /> O Adult Signature ❑Registered MailTm <br /> II I'III'I I'll I'I I III'I l'l l'IIIII I I I I I I II I II III ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4394 8248 2706 38 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> El Collect on elivery Merchandise <br /> ❑ <br /> Collect <br /> on Del very Restricted Delivery 0 Signature Confirmation' <br /> 2. Article Number(transfer from service labe0811 ❑Signature Confirmation <br /> 7018 1830 0001 6176 8342 <br /> 1811 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 <br /> Domestic Return Receipt <br />