HomeMy WebLinkAboutSOUTHWOOD PARK BLK 4 LT 12
LB/Iw
RECEIPT FOR CERTIFIED MAIL--30~ (plus postage)
POSTMARK
SENT TO OR DATE
STREET AND NO.
P.O.. STATE AND ZIP CODE
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN 1. Shows to whom and date delivered ........... 15¢
, With delivery to addressee only ............ 65~
RECEIPT 2. Shows to whom, date and where delivered .. 35¢
SERVICES With delivery to addressee only ............ 85¢
DELIVER TO ADDRESSEE ONLY ...................................................... 5~
SPECIAL DELIVERY (extra fee required) ....................................
PS Form 3800 NO INSURANCE COVERAGE PROVIDED-- (See other s;de)
Apr. 1971 NOT FOR INTERNATIONAL MAIL * o~o: 1972 o- 4e0*'m
Tox Code:
Owner)
AREA BOROUGH
Ma/ling AUdress:
User / Tenant:
Property Address:
Subdivision:
DYE TEST:
~ Positive
TEST
ADDITIONAL INFORMATION:
Office: ~ ' : ~:~ ~ .'
' ' i,. - ;~Yi:i -' '~ ~ .... ~ ~:':' ~": "
.~ ~ i
Field:
~ -,'2 ~ /
Administered By..
pW-062 (7-74)
GREATER ANCHORAGE AREA BOROUGH
· ~'; D YE TEST
Tux Code: Date:
Owner: ..
' -" ~i ' ".i~ '~ '~
Mailing Address:
User / Tenant:
Property Address:
Subd/v/s/on~
DYE TEST:
[] Positive
~'[]_ Negative
ADDITIONAL INFORMA T/ON:
Office: · , i' -'. "
Field:
Administered By..
pW-062 (7'74)
Tax Code,'- I Date;
Owner;
Mail/ng Address:
User / Tenant:
Property Address,"
DYE TEST:
[] Positive
:.~' Negative
ADDITIONAl INFORMATION:
0 ££ic e .'
F/eld:
Administered By..
PW-062 (7-74)