HomeMy WebLinkAboutNC0036692_NOVNOI2022LV0295_GRNCRD_20220509r`
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Domestic
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Certified Mail Fee
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$
Extra Services & Fees (check box,
add fee as appropdate)
1-3
❑ Return Receipt (hardcopy)
$
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❑ Return Receipt (etectronic)
$
1--3
❑ Certified Mall Restricted Delivery
$
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❑Adult Signature Required
$
[:]Adult Signature Restricted Delivery $
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Postage
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$
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Total Postage and Fees
a $ Robert A Nass
ti S Skyline Lodge 8r Village
905 Biscayne Blvd Ste 2
Deland, FL 32721-2045
■ Complete items 1, 2, and 3.
■ 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:
Rdtort A Nass
Sly One Lodge & Village
9 iscayne Blvd Ste 2
d, FL 32721-2045
A. Signat
Postmark
Here
X ❑ Agent
❑ Addressee
B, F4 ceiv d rm N me C. D to cl Deft
C-N
D. is delivery +dress different from item 1? ❑ Y�s
If YES, enter delivery address below: ❑ No
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III
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3. $}vice Type
❑ Priority Mail Express®
0
VOd ull SSignature
ignature Restricted Delivery
❑Registered Mail Restrictec
9590 9402 7043 1225 9584 20
rtified Mail®
Delivery
rtified Mall Restricted Delivery
❑Signature ConfirmationTM
❑ Collect on Delivery
❑ Signature Confirmation
2. Article Number (transfer from service label)
❑ Collect on Delivery Restricted Delivery
Restricted Delivery
7021 2720 0000 1259 4347
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❑ Insured Mail
❑Innim-t&.-11e-_11_.._ -.
NOV-2022-LV-0295 (LA)
PS Form 3811, July 2020 PSN 7530-02-000-9053
NCO036692 (MACON)
Domestic Return Receipt