HomeMy WebLinkAbout2004 01 20 Return Receipt - Case #04-0004709UNITED STATES POSTAL SERVICE First-Class Mail
Postage 8 Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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JAN 0 9 2004
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^ Complete'items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reverse
so that we can return the card to you.
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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3. ~Se~__ YPB -
1 ~ \ t , " "" ~ iYt/ F~IJ ~ CI Certified Mail
('/„vj l/ V~~W ^ Registered
^ Insured Mail
Signature
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Received by (Printed Name)
J ^ Agent
^ Address6=
C. Date of Delivery
D. Is delivery address different from item 1? ^ Yes
ff YES, enter delivery address below: ^ No
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^ Express Mail
^ Retum Receipt for Merohandis=
^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number "~~~~ 1680 2201 8537 2230
(Tiansferfrom service labeq ~,
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PS Form 3811, August 2001 Domestic Retum Receipt 102595.02-M-15a
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