HomeMy WebLinkAboutCertified Mail Receipt - OT General - 5/13/2005 i
. . .
SECTIONSENDER: COMPLETE THIS
■ Complete items 1,2,and 3.Also complete
A. Signature Agent
item 4 if Restricted Delivery is desired. X ❑,addressee
■ Print your name and address on the reverse C. Date of Delivery
so that we can return the card to you. B. erved (Pnn a e �-
■ Attach this card to the back of the mailpiece, ��
or on the front if space permits. D. is delivery address different from' ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑No
ALBERT B SHIELDS
520 NE LARSON BLVD
BELFAIR WA WA 98528-9269 3. Se Ice Type
Certified ed Mail Express Mail
12330-51-00058 p Registered ❑ Return Receipt for Merchandise
❑ Insured(Jail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number (/ 7004 2510 0002 6286 1693
(transfer from sery 102595-02-M-1540
PS Form 3811,February 2004
Domestic Return Receipt
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