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HomeMy WebLinkAbout1978 - Easement of Columbus Street - Lots 22,23,24 Block 16 SH Unit 1- 0 er �24,,C4 P— OL1,14 L.A 4c A 13 ........................1. t � � Match 13, 1978 City Council City of Sebastian ,Sebastian, Florl da Gentlemen s I have submitted a request dated March 7, 1978 for release of easements between Lots 22, 23, 24, Block 16, Unit 1 as X would like to build one house on lot 22 and half of lot 23, and a second house on the sewnd half of lot 23 and all of lot 24. In, the request for releasing these easements, I mould grant the City of Sebastian a 10 foot utility easems#t In the otter of lot 23 for future use. Ln making two lots of these three, the granted easement would be 5 feet on ether side of the new proprty line. Sincerely. Jack J. BlInkoff Rt. 1, Grant, Florida Tel. -723-0711 n w—E c `RSI 4 rR Esan T ,� a.3 Z } —ro 7 -Qi r JAI c /3L � o t- �9-'CL/C'/� , �/4,v- --j^p 12 g 11v Q—,o N (o iv !u U 6 7 9 O March 13, 1978 r City Council City of Sebastian , Sebastian, Florida Gentlemen: I have submitted a request dated March 7, 1978 for release of easements between Lots 22, 23, 24, Block 16, Unit 1 as I would like to build one house on lot 22 and half of lot 23, and a second house on the second half of lot 23 and all of lot 24. In the request for releasing these easements, I would grant the City of Sebastian a 10 foot utility easement in the center of lot 23 for future use. in making two lots of these three, the granted easement would be 5 feet on either side of the new proprty line. Sincerely. Ja"Blinkof*f Rt. 1, Grant, Florida Tel. -723-0711 W F 5 N ?AESPY i 2 a.3 Ty - 7 - y 6 W" t- 12 4v 1 AV April 18, 1978 .Mr. Jack J. Blinkoff 49 Felicity Lane Torrington, Connecticut 06790 Dear Mr. Blinkoff: With reference to your request for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, Unit 1, Sebastian Highlands, it will be necessary for you to forward to us copies of replats of the property before we can obtain approval from the utilities.. Please advise if we can be of any further assistance to you. Very truly yours, Florence L. Phelan City Clerk FLP:lr . April 7, 1978 C--TTFSSD Building Official City of Sebastian Sebastian, Florida 32958 Dear Sirs The City of Sebastian has been requested to grant approval for abandonment of easements &etween rots 22 and 23 and between rots 23 and 24, Block 16.- Unit 6,Unit 1, Sebastian Highlands. 1n so doing, the owner has agreed, when he replats the property, to give an easement in the center of the middle lot as now utility easewnts. Zn compliance with City of Sebastian Ordinance 0-76-4 of June 14, 3976, you roast zespond in writing, within fifteen days, of any objections you may have. Very truly yours, Florence L. Phelan City Clerk FLP:l r City of Sebastian POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 Pat Flood, Jr. TELEPHONE (305) 589-5330 Florence L Phelan Mayor City Clark April 7, 1978 n City Building Official W _ City of Sebastian Sebastian, Florida 32958 Dear Sir: The City of Sebastian has been requested to grant - approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, �j ESEH % I Unit 1, Sebastian Highlands. In so doing, the i t I owner has agreed, when he replats the property, to \> 4 give an easement in the center of the middle lot i3 as new utility easements. Zy � In compliance with City of Sebastian Ordinance 0-76-4 of June 14, 1976, you must respond in writing, within an objections � fifteen days, of y y 3 you may have. r a, Very truly yours, h7n P t i i s L.4o j AV �0PQ's E r _ 17AN 0li Florence L. Phelan City Clerk FLP:lr "H 0 M E 0 F PELICAN I S L A N D" April 7, 1978 CTsRTZPSBD sndian River Cablevision P. O. Box 327 Sebastian, Florida 32950 Gentlemen: The City of Sebastian has been requested to ,grant approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, Unit 1, Sebastian highlands. Sn so doing, the owner has agreed, when he replats the property, to give an easement in the center of the middle lot as new utility easements, xn compliance with City of Sebastian Ordinance 0-76-4 of June 14, 1976, you Must respond in writing, within fifteen days, of any objections you may have. Very truly yours, Plorence L. Phelan Ci ty Clerk FLPslr Pat Flood, Jr. Mayor W—� City of Sebastian POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 TELEPHONE (305) 589-5330 CERTIFIED April 7, 1978 Florenee L. Phelan City Clerk Indian River Cablevision P. O. Box 327 Sebastian, Florida 32958 of 9� Gentlemen: ?(ZESEri-r r- ! The City of Sebastian has been requested to grant r approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, Unit 1, Sebastian Highlands. In so doing, the gyp owner has agreed, when he replats the property to give an easement in the center of the middle lot - — as new utility easements. 0 In compliance with City of Sebastian Ordinance 0-76-4 of June 14, 1976, you must respond in writing, within fifteen days, of any objections you may have. I Very truly yours, W r I Florence L. Phelan S i AV . City Clerk "�`"��' FLP:lr ��Ize� Sim �-y ryA>a o A r " H 0 M E 0 F P E L I C A N I S L A N D" H 0 • SENDER: Complete items 1. 2. and 3. 0 Add your address in the "RETURN TO" space on reverse. cow 1. The following service is requested (check one). p[kShow to whom and date delivered.......... ¢ ❑ Show to whom, date, and -address of delivery.. ¢ ❑ RESTRICTED DELIVERY Show- to whom and date delivered .......... ¢ ❑ -RESTRICTED DELIVERY. Show to whom, date, and address of delivery. $ (CONSULT POSTMASTER FOR FEES) X 2. ARTICLE ADDRESSED TO: q Indian River Cablevision Z P.O. Box 327 M Sebastian, Fla. 32958 m 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. INSURED NO. m 1625488 I (Always obtain signature of atldrossm or agent) H I have received the article described above. 0 SIGNATURE ❑ Addressee ❑ Authorized agent Z N C4. X DATE OF DELIVERY POSTMARK M v s 5. ADDRESS (Complete only N requested) A S. -UNABLE TO DELIVER -BECAUSE: CLERK'S INITIALS Ic 30 im �r GPO: IM --0-234-337 UNITED STATES )IOSTAL SERVICE OFFICIAL E SINESS SENDER INS RUCTIONS PENALTY FOR PRIVATE USE TO TY FO PAYMENT Print your name, address, and ZIP Code in the space below. OF POSTAGE, $300 • Complete items 1, 2, and 3 on the reverse. •0 article gummed ends and attach to front of artiele US.MAIL It space permits. Otherwise affix to back of article. aaaaaaaaaasn • Endorse article "Return Receipt Requested" adp. can to number. RETURN TO CITY OF SEBASTIAN P. O. Box 127 Sebastian, Florida 32958 (Name of Sender) (Street or P.O. Bo:) (City. State, and ZIP Code) No. 625488 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) SENT TO INDI�1� RIVER CABLFVTST0 STREET AND NN P.O. BOX 327 P.O., STATE AND ZIP CODE Sebastian, Fla. 32958 POSTAGE $ y CERTIFIED FEE Q W W LL SPECIAL DELIVERY Q 0RESTRICTED DELIVERY Q U. W W R U F V > SHOW TO WHOM AND Q > d1 R K DATE DELIVERED Q 111 W :E N N SHOW TO WHOM, DATE, I- - n AND ADDRESS OF Q O 2 W DELIVERY CL OW SHOW TO WHOM AND DATE d I C DELIVERED WITH RESTRICTED Q N O 2 DELIVERY Z SHOW TO WHOM, DATE AND U ADDRESS OF DELIVERY WITH Q K RESTRICTED DELIVERY cz TOTAL POSTAGE AND FEES $ ti POSTMARK OR DATE C6 a 8 QD c* B Y �I a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified-mail number and your name and address on a return receipt card, Form 3811, and attach it to the-front of the article by means of the gummed ends if space permits. Otherwise, afix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees 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. April 7, 1978 CRRTlFISD General Development Corp.. Engineering 2095 S.W. D.S. #1 Vero Beach, Florida 32.960 Qwtleman: The City of Sebastian has been o grant approval Por abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, vb i t 1, Sebastian Highlands. Sn so doing, the owner has agreed, when he replats the propsrty, to g*ve an easement In the center of the adddle lot as mw allllty easements. Fn CaRVIlanCO with City of Sebastian Ordinancae o-76-4 of dune 14, 1976, you twist zespond In writing, within fifteen days, of any objections you my have. Very truly youm. Florence L. Phelan City Clerk FLP:lr dc; ai« pe'vlf✓ Pal Flood, Jr. Mayor W— E /5 `may 4 FR ssEty 13 22 y .7 f` h1n I h W�r soj AJ, fro p0SE _ lY 1 -Lai ', 1-1 +/ 0 - — jy City of Sebastian POST OFFICE BOX 127 O SEBASTIAN, FLORIDA 32958 TELEPHONE (305) 589-5330 April 7, 1978 CERTIFIED General Development Corp. Engineering 2095 S.W. U.S. #1 Vero Beach, Florida 32960 Gentlemen: Florence L. Phelan City Clerk The City of Sebastian has been requested to grant approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, Unit 1, Sebastian Highlands. In so doing, the owner has agreed, when he replats the property, to give an easement in the center of the middle lot as new utility easements. In compliance with City of Sebastian Ordinance 0-76-4 of June 14, 1976, you must respond in writing, within fifteen days, of any objections you may have. Very truly yours, Florence L. Phelan City Clerk FLP:lr CC: Mr. William Bevan H O M E 0 F PELICAN I SLA ND" y �® SENDER: Complete items 1. 2. and i. - -- _ o Add your address in the "RETURN TO" space on reverse. w 1. The following service is requested (check one). ® Show to whom and date delivered.......... ¢ ❑ Show to whom, date, and address of delivery.. ¢ ❑ RESTRICTED DELIVERY Show to whom and date delivered.......... ¢ ❑ RESTRICTED DELIVERY. Show to whom, date, and address of delivery. $ ( CONSULT POSTMASTER FOR FEES) M 2. ARTICLE ADDRESSED TO: E3 Gen '1. Dev. Corp. Engineering Z 2095 S.W. U.S. #1 M, Vero Beach, Fla. 32960 m 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. INSURED NO. c� I 625487 I to (Always obtain signature of addressee or agent) InI have received the article described above. 0 SIGNATURE ❑ Addressee ❑ Authorized agent 2 N C4. M DATE OF DELIVERY POSTMARK M v D 5. ADDRESS (Complete only if requested) A 6. UNABLE TO DELIVER BECAUSE: CLERK'S v INITIALS a r * GPO: IM -0-234-337 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS USE TOPENALTY FOR PRIVATE PAYMENT USE TO AVOID PAYMENT Print your name, address, and ZIP Code in the specs below. OF POSTAGE. $300 • Complete items I, end 3 on the reverse. • sgummed ends to and attach front of article U&IYIAR i/ space permits. Otherwise Receipt to back of article. • Endorse edicts "Return fleceipt Reeuested" adje cent to number. RETURN To CITY OF SEBASTIAN P. O. Box 127 Sebastian, Florida 32958 (Name of Sender) (Street or P.O. Box) (City, State, and ZIP Code) No. ED e,- 5 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) SENT TO GENL.DEV.CORP.ENGR. STREET AND NO. 2095 S.W. U.S. #1 P.O., STATE AND ZIP CODE Vero Beach, Fla. 32960 POSTAGE W CERTIFIED FEE Q W W LL SPECIAL DELIVERY C R O RESTRICTED DELIVERY Q LL W W Q U U SHOW TO WHOM AND IW- > tq S > 2 DATE DELIVERED Q W W J SHOW TO WHOM, DATE, a AND ADDRESS OF to Q O Z W DELIVERY a OW SHOW TO WHOM AND DATE a Q DELIVERED WITH RESTRICTED Q M O Z DELIVERY co Z 7 SHOW TO WHOM, DATE AND U W ADDRESS OF DELIVERY WITH Q 2 RESTRICTED DELIVERY TOTAL POSTAGE AND FEES $ r POSTMARK OR DATE w a d 0 0 00 Cf) E 0 0 w DO a No. STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. It you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified -mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, afix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees 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. April 7, 3978 CSRTIF ED Florida Power a Light Company P. O. Box 488 Sebastian, Fl ori da 32958 GentAemen: The C6ty of Sebastian has been requested to grant approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24.. Block 16, Unit I, Sebastian Highlands. In so doing, the owner has agreeg7 when he replats the property, to give an easement In the center of the middle lot as new utility easements. In compliance with City of Sebastian Ordinance 0-76-4 of June 14, 2976, you must respond in writing, within fifteen days, of any objections you may have. very truly yours, Florence L. Phelan Ci ty Clerk FLP:l r City of Sebastian POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 Pat Flood, Jr. TELEPHONE (305) 589-5330 Florence L. Phalen Mayor City Clerk April 7, 1978 W _ _ E CERTIFIED Florida Power & Light Company P. O. Box 448 Sebastian, Florida 32958 ?R ESEri % �- Gentlemen: � I \ \> i t The City of Sebastian has been requested to grant '3 approval for abandonment of easements between Lots Zy i 22 and 23 and between Lots 23 and 24, Block 16, 4. to Unit 1, Sebastian Highlands. In so doing, the F'— owner has agreed when he replats the property, to -'— ' give an easement in the center of the middle lot as new utility easements. Hn In compliance with City of Sebastian Ordinance 0-76-4 Iof June 14, 1976, you must respond in writing, within ( fifteen days, of any objections you may have. Very truly yours, t 5 '"amu i AV- Florence L. Phelan �pPOSE City Clerk rR_ _ G23(� I x e, 2 ° FLP:lr '' H 0 M E 0 F PEL T CAN ISLAND" UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER Y INSTRUCTIONS PENALTY FOR PRIVATE USE TO TY FO PAYMENT Print your name, address, and ZIP Code in the space below. OF POSTAGE, $300 • Complete items 1, 2, and 3 on the entree. • Mpisten gummed ends and attach to front of article IAS.MAIL if space permits. Otherwise affix to back of article. aa� • Endorse article "Relurn Receipt Requested' ad)a. cent to member. RETURN TO CITY OF SEBASTIAN P. O. Box 127 Sebastian, Florida 32956 (Name of Sender) (Street or P.O. Bort) (City, State, and ZIP Code) y 0 SENDER: Complete item; I. ], :md i. Add your address in the "RETURN TO" space on 3 revers. I. The following service is requested (check one). aShow to whom and date delivered ..........¢ ❑ Show to whom, date, and address of delivery. —0 RESTRICTED DELIVERY V Show to whom and date delivered .......... RESTRICTED DELIVERY. Show to whom, date, and address of delivery. $ (CONSULT POSTMASTER FOR FEES) a 2. ARTICLE ADDRESSED TO: Florida Power & Light Co. = P.O. Box 448 m Sebastian, Fla. 32958 m 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. I INSURED NO. m 1625486 c rn (Always obtain signature of atldresaee or agent) zI have received the article described above. mD SIGNATURE ❑ Addressee ❑ Authorized agent to N C 4. To DATE OF DELIVERY POSTMARK O Z Y requested) S. ADDRESS (Complete only rt O O m A H In 6. UNABLE TO DELIVER BECAUSE: CLERK'S O INITIALS 3 > {r Gro : 19)7-0-234-33] No. RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDEO— NOT FOR INTERNATIONAL MAIL (See Reverse) SENT TO FLORIDA POWER & LT.CO. STRrEi-AND Nd. P.O. Box 448 P.O., STATE AND ZIP CODE Sebastian, Fla. 32958 POSTAGE $ y� CERTIFIED FEEUJI Q W LL. SPECIAL DELIVERY Q Q O RESTRICTED DELIVERY Q LL W W Q 2 2 I SHOW TO WHOM AND IL > > DATE DELIVERED Q Q W W N to SHOW TO WHOM, DATE, to < n AND ADDRESS OF Q z Lu DELIVERY d O U SHOW TO WHOM AND DATE C CC DELIVERED WITH RESTRICTED Q m O Z DELIVERY Z m SHOW TO WHOM, DATE AND 0 W ADDRESS OF DELIVERY WITH Q Q RESTRICTED DELIVERY TOTAL POSTAGE AND FEES $ � POSTMARK OR DATE a Q 0 a m w 0 W rn a No. 6"5486 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified -mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, afix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. if you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees 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 it you make inquiry. April 71 1978 CTRTSFIBD Southern Bell T. & T. CO. P. 0. Bou 68 Fort Pierce, Florida 33450 Gentleman: The City of Sebastian has been requested to grant approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, Unit 1, Sebastian Highlands. In so doing, the owner has agreed, when he replats the Property, to give an easement in the center of the middle lot as new utility easements. .Tri compliance with City of Sebastian Ordinance 0-76-4 of June 141 1976, you must respond in writing, within fifteen days, of any objections you may have. Very truly yours, Florence L. Phelan city Clerk FLP:lr Pat Flood, Jr. Mayor W — F K01 9� PRESfrI% �- z3 i Zv ro __ 01 City of Sebastian POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 TELEPHONE (305) 589-5330 April 7, 1978 CERTIFIED Southern Bell T. & T. Co. P. O. Box 68 Fort Pierce, Florida 33450 Gentlemen: Florence L Phelan City Clark The City of Sebastian has been requested to grant approval for abandonment of easements between Lots 22 and 23 and between Lots 23 and 24, Block 16, Unit 1, Sebastian Highlands. In so doing, the owner has agreed, when he replats the property, to give an easement in the center of the middle lot as new utility easements. in compliance with City of Sebastian ordinance 0-76-4 of June 14, 1976, you must respond in writing, within fifteen days, of any objections you may have. Very truly yours, Florence L. Phelan City Clerk FLP:lr H O M E 0 F PET ICAN ISLAND" UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS PENALTY FOR PRIVATE USE TO AVOID POST PAYMENT Print your name, address, and and Code h the space below. Of POSTAGE, $300 • Complete items 1, d end 3 on the reverse. Moisten gummed ands and attach Iron[ of article U.S,MAIL it space permits. Otherwise affix too back of adja- cent —� • Endorse article "Return Receipt Requested— edje- cenl to number. RETURN TO CITY OF SEBASTIAN P. O. Box 127 Sebastian, Florida 32958 (Name of Sender) (Street nr P.U. Box) (City, State, and ZIP Code) r9n SENDER: Complete items 1. 2, and i. - - - - -- --- -- Add your address in the 'RETURN TO" space on 3 reverse. m I. The following service is requested (check one). g® Show to whom and date delivered .......... ❑ Show to whom, date, and address of delivery.._¢ RESTRICTED DELIVERY V Show to whom and date delivered .......... RESTRICTED DELIVERY. Show to whom, date, and address of delivery.$ (CONSULT POSTMASTER FOR FEES) z 2. ARTICLE ADDRESSED TO: Southern Bell T. & T. Co. iP.O. Box 68 71 m Fort Pierce, Fla. 33450 m 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. i INSURED NO. (Always obtain signature of addressee or agent) zI have received the article described above. CSIGNATURE ❑ Addrrssee ❑ Authorizvd agent 0 C \4 A /ATE OF DELIVERY POSTMARK 0 S. ADDRESS (Complete only 1l requested) 0 m A H 6. UNABLE TO DELIVER BECAUSE: CLERK'S O I INITIALS D r {r GPo :191r -O-23<-334 No. 627529 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) SENT TO SOUTHERN BELL T. & T.CO, STREET AND NO. P.O. BOX 68 P.O., STATE AND ZIP CODE Fort Pierce,Fla.33450 POSTAGE $ y CERTIFIED FEE Q W W LL SPECIAL DELIVERY Q CC O 0 RESTRICTED DEUVERY Q LL W W R WV V SHOW TO WHOM AND Q F- > U) Q > R DATE DELIVERED Q W W i N h SHOW TO WHOM, DATE, AND ADDRESS OF Q y 'C z Lu DELIVERY C O W SHOW TO WHOM AND DATE d Q DELIVERED WITH RESTRICTED Q m O Z DELIVERY co n SHOW TO WHOM, DATE AND U ADDRESS OF DELIVERY WITH I Q Q RESTRICTED DELIVERY TOTAL POSTAGE AND FEES $ n POSTMARK OR DATE w a a 0 a e 0 w K K STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified -mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, afix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees 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. Save this receipt and present it if you make inquiry.