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HomeMy WebLinkAboutZ-4523 Application 2SENDER: ■Complete items 1 anwor 2 for additional services. ■Complete items 3, 48, and 4b. ®Print your name and address on the reverse of this form so that we can return this card to you. •Attach this form to the front of the mailpiece, or on the back if space does not permit. ■Write'Ratum Receipt Requested' on the mailpiece below the arlde number. *The Return Receipt w}II show to whom the article was delivered and the date delivered. Addressed to: Duane Michael Hallof & Connie Haynes 12293 Southridge Little Rock, Arkansas 72212 5. Received By: (Print 3ignattJre= (Addressee or X ) . -. . 11, December 1994 I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 4a. Article Number -30 4b. Service Type ❑ Registered Certified ❑ Express Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ COD 7. Date of Delivery •y R, Addressee's Address (Only if requested and fee is paid) ■ Complete items 1 and/or 2 for additional services. ■ Complete items 3, 4a, and 4b. • Print your name and address on the reverse of this form so that we can return this card to you. ■Attach this form to the front of the mailpiece, or on the back if space does not permit. ■Write'Return Receipt Requested' on the mailpiece below the article number. ■The Return Receipt will show to whom the article was delivered and the date delivered. Article Addressed to: Steven L. & Alana A. Reed 11933 S6utlu-idge Little Rock, Arkansas 722k� - 1732 Ult" ZZ rtil 3811, December 1994 I also wish to receive the following services (for an extra fee): ai 1. ❑ Addressee's Address fr 2. ❑ Restricted Delivery rnn Consult postmaster for fee. a. 'at nber P,4,+q ezpA13 off. 4b. Service Type«' I a , • - ;..; Certified rr ❑ Insured Im Ot for Merchandise ❑ COD N 0 I It a 8. Addressee's Address (Only if requested and fee is paid) s Domestic Return Receipt xrvuwrn: - ■Complete itsms 1 and/or 2 for additional saMces. ■Complale items 3, 4a, and 44. ■Print your name and address an the reverse oflhis form so that we can return this card to you. ■Attach this form to the front of the mailpiece, or on the back if space does not permit. ■ Wriie`Relum Receipt Requested' on the mailplece below the article number. ■The Return Receipt MJ show to whom the article was delivered and the dale delivered. 3. Arkansas State Highway Corunission P. O. Box 2261 Little Rock, Arkansas 72203 4 TD 5. Received By: (Print Name) 6. PS ForniA811, December 1 I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 4b. service Type ❑ Registered Certified \Express Mail ❑ Insured al turn Receipt for Merchandise ❑ COD M a -f neu.,— fee is paid) ■Complete items 1 and/or2 for additional services. ■Complete items 3, 4a, and 4b. ■ Print your name and address on the reverse of this form so that we can return this card to you. ■Attach this form to the front of the mailpiece, or on the back if space does not permit. ■Write'Retum Receipt Requested' on the mailpiece below the article number. ■The Return Receipt will show to whom the article was delivered and the date delivered. Addressed to: Jimmy V. & Mary P. Parr 11863 Southridge `J Little Rock, Arkanpa \V 1 37y tocelved.-By:. 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