17C-104 (5) UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name,address and ZIP Code
In the space below.
• Complete items 1,2,3,and 4 on the
reverse. U.S.MAIL
• Attach to front of article it space �Q
permits, otherwise affix to back of
article. PENALTY FOR PRIVATE
• Endorse article "Return Receipt USE, $300
Requested"adjacent to number,
RETURN Print Sender's name, address, and ZIP Code in the space below.
TO W
• SENDER: Complete items 1 and 2 when additional services are desired, and comple a items
3 and 4.
Put your address in the"RETURN TO"Space on the reverse side. Failure to do this will prevent this card
from being returned to you.The return recei t fee will provid e ou the name of the erson delivered to and
the date of delivery. For additional tees the o lowing services are availa e, onsult postmaster tor tees
and check ox es for additional service(s)requested.
1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery
(Extra charge) (Extra charge)
3. Afiticie Addressed to: 4. Article Number
n x •
Type of Service:
(,,( Registered El Insured
�n Certified ❑ COD
Express Mail ❑Return Receipt
for Merchandise
Always obtain signature of addressee
or agent and DATE DELIVERED.
5. Signature — Addressee 8. Addressee's Address (ONLY if
X 92&& requested and fee paid)
6. Signature — Agent
X
7. Date of Delivery
11- 7 - 76
PS Form 3811, Apr. 1989 DOMESTIC RETURN RECEIPT
(riff of 'Nort4all pton f z z
� d ,�Glassacl�usctts
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Frank X . Sienkiewicz Northampton, Mass. 01060
November 5 , 1990
Mr . & Mrs . William Olander
13 Stilson Ave .
Florence , Mass . 01060
Dear Mr . & Mrs . Olander :
During my on-site inspection on August 11 , 1990 I noticed extensive
work being done that was not included on your building permit issued
4/ 13/89 permit #234 . Also there is no electrical or plumbing permits
for the job at the above listed address .
Please call me upon receipt of this letter or come into my office
to get this matter, rectified .
' cer y ,
Frank X . Sienk ' cz
Building ector
FXS/ lb
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front)
I. It you want this receipt postmarked,stick the gummed stub to the right of the return address 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 to the right of the return address 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 frcntrof the article by means of the gummed ends if space per-
mits. Otherwise, affix 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.
U.S.G.P.O.1987-197-722
,5b8 359 5581-ILI -
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT EORINTERNATIONAL MAIL
(See Reverse)
S�ni t
` i', 1.
St re t and o
State and ZIP Code
Postage 5
Certified Fee
Special Delivery Fee .�'
o,o
Restricted Delivery Fc� Y
Return Receipt stk win
to whom and Dat DeI, ere
rn Return Receipt sho ing t r
PC
Date.and Addr,�ss o ehv
3 TOTAL Postage and Fees ^^
0 Postmark or D 3te �
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