Laserfiche WebLink
AddyawddRaninth REfURNTOP'wmm <br />Gin}; stein is requested (check one). <br />Ito whom and date delivered ........ .._ <br />to whom, date, and adds Lss of delivery. .— <br />RICTED DELIVERY <br />to whom and doe delivered..........., <br />RICTED DELI'IERY. <br />to whose, data, ma add" of delivery.f� <br />VSLILT POSTMASTER FOR FEES) <br />!jRwzBSFO TO: t-g* .1 <br />' <br />I IDENTIFIED <br />IIE1111TEMD NO. i�9� Q I INSURED 110. <br />i (Almom �MldadSlrawassatlf��)aYraw�llltl <br />1 lave received the article described above. <br />SIONATIME Addressee ❑ Authoriud Wat <br />a. <br />DATE Of o[uvur rosratARR <br />S. ADDRESS (CarP►I641 only N raW"f;z <br />S. UNABLE TO OELIVER BECAUSE: CLERK' <br />INITIAL <br />p arm ,naen <br />r <br />No. L"'J 9 ! 0 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED — <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />CERTIFIED FEE <br />a� <br />}!r <br />I <br />SPECIAL <br />DELIVERY <br />6 <br />A <br />tr <br />RESTRICTED <br />DELIVERY <br />t <br />SI M ID WHOM IUD DATE <br />> <br />DENERED <br />SNDN TO 101011 DATE AND <br />IS <br />i <br />�^ <br />ADDRESS N NILK" <br />W <br />mm to rIRIDM AND DATE <br />s <br />DELIVERED NOR RESTROEED <br />o <br />s <br />DEumy <br />LOW TD ADIDM. DATE AN D <br />ac <br />= <br />Of N <br />ADDRESS I IV WItN <br />t <br />ac <br />w <br />AESERICI[D NLIVERYAr <br />TOTAL POSTAGE AND FEES <br />G <br />fI <br />POSTNARN OR DATE <br />