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<br />.- ... -r <br /> t'. <br /> CII <br />F " <br />"iij <br /> CII <br />en III <br />.. <br />CII <br />'. > <br />CII <br />. .. <br />CII <br /> .r:: <br /> .. <br /> l: <br /> 0 <br />trCd " <br /> .l!! <br /> CII <br /> ii. <br /> E <br /> 0 <br /> l.l <br /> Ul <br /> Ul <br /> W <br /> a: <br /> 0 <br /> 0 <br /> cc <br /> z <br /> a: <br /> :l <br /> ~ <br /> W <br /> a: <br /> .. <br /> ::::J <br /> 0 <br /> >- <br /> !!1. <br /> <br />P 289 635 592 <br /> <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br /> <br />Do not use for Intemational Mail (See reverse! <br />Sent 10 <br /> Mr. & Mrs. James Ascheln <br />Street & Number 73rrl - <br /> 1871 Post Office, State, & ZIP Code MN <br /> Centervillp '"I '"I' ~~ <br />Postage $ .33 <br />Certified Fee 1.40 <br />Spedal Delivery Fee <br />Restricted Delivery Fee 2.75 <br />Return Receipt Showing 10 1.25 <br />Whom & Date Delivered <br />Return Receipt Showing to Whom, <br />Dale, & Addressee's Address <br />TOTAL Postage & Fees $ 5.73 <br />Postmark or Date <br /> <br />an <br /> <br />Il) <br />Ol <br />Ol <br />.... <br /> <br />Q. <br />c{ <br />O' <br />o <br />co <br />M <br />E <br />6 <br />u.. <br />en <br />a. <br /> <br />Eolct at line. over top of envelope' to ,- ,..' <br />.- -''fi!"" <br />. ., -, the right of the return address <br /> <br />- <br /> <br />SENDER: <br />· Complete items 1 and/or 2 lor additional services. <br />· Complete items 3, 4a, and 4b. <br />· Print your name and address on the reverse of this lorm so that we can return lhis <br />card to you. <br />· Attach this lorm to the Iront 01 'he maiJpiece, or on the back il space does not <br />permi!. <br />· Write .Retum Receipt Requested" on the mail piece below the article number. <br />.The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br /> <br />3. Article Addressed to: <br />Mr. & Mrs. James Ascheman <br />1871 - 73rd Street <br />Centerville, MN 55038 <br /> <br />I also wish to receive the <br />following services (for an <br />extra fee): ai <br /> <br />1. 0 Addressee's Address .~ <br /> <br />2. ro Restricted Delivery J: <br /> <br />Consult postmaster for fee. "~ <br /> <br />4a. Article Number ~ <br />a: <br />l: <br />.. <br />::::J <br />.. <br />CII <br />a: <br />DI <br />l: <br />"iij <br />::::J <br />.. <br />o <br />- <br />::::J <br />o <br />>- <br />..II: <br />l: <br />I'll <br />~ <br /> <br /> <br />4b. Service Type <br />o Registered <br />o Express Mail <br />IX Return Receipt for Merchandise <br />7. Date of Delivery <br /> <br />QlI Certified <br />o Insured <br />o COD <br /> <br />5. Received By: (Print Name) <br /> <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br /> <br />6. Signature: (Addressee or Agent) <br />X <br /> <br />PS Form 3811, December 1994 <br /> <br />Domestic Return Receipt <br /> <br />1" <br />