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RECEIPT FOR CER"O MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAil
(See Reverse)
Senllo Larry Satom ~
S dt.l u" ~~~j r ucts
"eelan 3~40 Olympic Street
I P.O.. Slale and ZIP Code I
'n~;nnT;p'n lR q7478
I Postage S
.39
I Certified Fee . 75
I SpeCial Delivery Fee
I RestriCled Delivery Fee
I Return Receipt showing
to whom and Dale Delivered
on
:ll I Relurn Aeceipt showing to whom,
- Dale. and Address of Dehvery
m
S I TOTASt'OSla~ie'and"Fee~
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.70
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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE. AND CHARGES FOR ~NY SElECTED OPTIONAL SERVICES. (sn front)
1. If you want this receipt postmarked. sUck the gummed stub 10 the right of the return address leaving
the recelpl aUached and present the article at a post office service window or hand it to your rural carrier.
(no extra charge)
2. It you do not want this receipt postmarked, stick the gummed stub to the right of the relurn addres.
the article. date, detach and retain the receipt, and mail the article.
3. If you wanl a relurn receipl, write the certified mail number and your name and address on a return
receipt card. Form 3811, and attach lito the fronl of the article by means 01 the gummed ends if space per-
mits. Otherwise, affix 10 back of article. Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
4. II you want delivery restricted to the addressee. or to an authorized agent 01 the addressee. endorse
RESTRICTED DELIVERY on the Iront of the article.
5. Enter lees for the services requested In the approprIate spaces on the front of this receipt. If return
receipt is requested, check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present It if you make inquiry.
ll' U.S.O.P.O. tl87-178-t31
.Jb_ & d - Carol #87
.SENDER: Complete Items 1 and 2 when additional I.rvlces are desired, an.Plote Item. 3
and 4. .
Put your address In the" RN TO" Space on the reverse side, Failure to do t 111 prevent this
card from being returned. QU. I.h.Lr~tuI').rJ'CQID.1. f~ Yill! F..r_qvjgg; \!,r\." thfl filllmlll6tt.t 1!u!I.'1tr'l2D.
~lJ<11t'1.. 11'1.<1.. !~A s1.ftl!l_t1..f A.AIIY.!l[.:t. For additional fees the following lorvlc81 efe available, Consult
postmelter for fee. end chlK:k box(es) for additional servlce!s) requested.
1. 5(~ow to whom delivered, date, end eddre..ee's8ddreu. 2. 0 Restricted Dellverv
t(Extra charge)t t(Extra cllarge)t
3. Article Addressed to: 4. Article Number
Larry Satom
Plug-Away Wood Products
3240 Olympic Street
Springfield, OR 97478
P 716 420 128
I
h~;'dd~ee y~
I ~ Signature - gent
17. Date of De.live[y r ,r ~I
I,.. ,t\ "t; J :C00
PS Form 3811, Mar. 1987 * U.S.G.P.O. 1987-178-268
Type of Service:
o Registered
IXl<Certifled
o Express Mail
Always obtain signature of addresseo
or agent and DATE DELIVERED.
B. Addressee's Address (ONL Y if
requested and fee paid) (
o Insured
o COD
DOMESTIC RETURN RECEIPT
UNITED STA+STAL SERVICE
OFFICIAL BUSINESS
SEiiiDeR INSTRUCTIONS
Print your name, address. and ZIP
Code in the space below.
. Complete items 1, 2, 3, and 4 on
the reverse.
. Attach to front of article if space
permits. otherwise affix to back
of article.
. Endorse article "Return Receipt
Requested" adjacent to number.
I II II I
.
.~'
U.S.MAIL
....
J
PENALTY FOR PRIVATE
USE, S300
RETURN
TO'
..
Print Sender's name, address. and ZIP Code in the space below.
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"" f Y UF SPRINGFIELD
Office 0: Community and -
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Planruna &, Oereloptnent De
~25 N:.5th Street P-
~""".""IU, urqGn 91417