Laserfiche WebLink
� •SENDEfl:Complele items 1,2.3,end 4. <br /> � Addyauraddressinthe"RETURNTO"spaco <br /> � (CONSULT POSTMASiEH FOti FEES) <br /> � P 227 08?_ 180 <br /> � t.Thc ollowingscrviceisrcqucstcd(chcckone). R�CEIPTFORCERT�FIEDNIAIL <br /> how to whom and datc dclivcrcd.................... _C <br /> Show Io whom,datc,nnd address of delivery.. —C NO INSIIPANCE COVEHAGE Pf10VI0ED— <br /> NOT FOfl INTENNRiIUNAL MNI. <br /> i O RESTRICTED DSLIVHRY " �See Reveise� <br /> (7�c�rr(noud ddiwry fre u chalg�d in addirian lo _ ---� - <br /> rhrnmmrcceip��rc) ` �' ' '�'r'�� �`' �� <br /> v �;���� <br /> TOTAL �_ rn;�[t+no` r.o <br /> �.�pTIG�EA00RE E�TQ� `Z� /�. I�DI�7�` <br /> � �. /Lc� `/ PoST,-.*f . F <br /> y Lf/n++ • ^ ,�" (�� CYp.�/C� <br /> //U/1��--.��GSS� �c,v�. �_ $ <br /> iG I�_ <br /> _ ��. GJ�4 `�`F�- � ' i � � ,;�,���. �� <br /> a �, TYPE OF SERYICE: AflTICIE NUMBEfl - I <br /> m � SPEG!ALO[LIVBrv ' <br /> T ❑XEOISfERm ❑MSUHm ��.�7 � <br /> � Oc��ieu ❑coo � I ��es*r!icrenneuvn;r <br /> OE� !� i <br /> ❑E%PIIE5614L q�OwioWuu�dr.:r . � <br /> n (AlwaYs ebtain Wyoatute of addrctaee ot agenq ��"� I��; � na�[cruveem <br /> � I have received the anicle described abova I'- '��� s . . . ., <br /> . � � y g1O¢JIO1Y11 1 1 ' <br /> SIGNATUHE ❑ Addresscc ❑ Authorizcd agcnt � ��or,n[ss <br /> y l'VERY I <br /> m �_ u <br /> �l 101Y110110.J�1-1i <br /> O � � � i � <br /> -„ �J . . � o�-z! �G--'L/� �� - c uveaEo�wmFe_i.�c��_��. <br /> � , s r.uum <br /> � 6' O�7EOFDEOVEXY� POSTIIAPK I ' �j�. � y�p}'110M�ni,�.Ordf:.:n <br /> � I Q :CUF[iSGtGELiVEPv1'dii� <br /> � 1_ e;sm�tt[ociuv[N� _ <br /> = 6.AOUflE55EE'SADDNE55(Onl)i/rtqvoud� �. <br /> � ✓ � - IOT�tLa05TA0EANUFEES S �I <br /> O <br /> f� , j � - POSiMARRD�OATE <br /> b " !' <br /> 3 7.UNIIBLETfIDEUYEflBECAUSB 7a.dIPLO'!EE'S / II <br /> m �N���/ �_ I <br /> G _ I <br /> > � � - I <br /> r <br />