HomeMy WebLinkAbout2005 01 18 Return Receipt - Case #04-0007140
^ 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 Atldressed to:
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a 13 ~ +rch ~ e~rac ~
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A. Signature
X ^ Agent
_ ^ Addressee
B. Received by (Printed Name) ~ C. Date of Delivery
D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Servjpe Type _ - -
Certified Mail ^ Express Mail
^ Registered ^ Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee)
2. Article Number
(Transfer from service label) 7 D D~ 2 51 D D D D 1 2 D 13 D 8 D D
PS Form 3811, August 2001 Domestic Return Receipt
^ Yes
102595-02-M-0835
UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Winter Springs ~'olice Department
Code Enforcement Division
300 North Moss Road
Winter Springs, FL 32708
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