CE-Intersection Safety Backup Documents 03/01/2010
Intersection Safety
Program
Backup
March 1, 2010
UnlIBd SlId88 POIIIII~ ~ 1l rr
,We ....d Youf We rfor You I t.
118m 18 at AY8IIabIe TOr PIck-up Aftet
- Poll 0IIIce (.
o .If...... you or yaIR''''" be .....
lit time' of deIvwy to sign for Item.
ArtIcle Number(s)
I V &610 lfl/81
r:J...... L8II8r For DeIIvwy:
deIiveted by seMce type)
- =. ForNollce Left: (CIreck~IIem)
C8lliIog, elc. - Express ~ _ IIISlI8d Mail
- PlIceI a CertIlIed Mal'"
- ReeIrIcIed
DelIvery
_ PerI8hlIbIe - FIrm Bill
Item
- OIlIer:
- DelIvery
ConIIrmalIon 111
- R8gIstnd Mal'"
- SlgnaIure
Colllihlldlk.n ...
ArtIcle RequIring Payment
We will redeliver OR you Of your agent can pick up your mall at the Post OffIce. (Bring this form and
10." r fit wi" Ick u si n b810w in item 2 and enter nt name here :
1.11III.....- ..::lhatapp/yln NAPLES MAIN POST OFFICE 34102 .
..- b. Sign In BtIcIion 2 below; 1200 GQODL6TTE RD N
Co LaM,.,... M -, 8:OCJ AM - 5:61 PM
IheC/lt1lfrC8f/18". SAT 1:00 AM - 2:00 PM'
2. SIgn Here to authorize rede/~ PHONE: (800) 27s.am
or to authorize an agent to sign ror
you: Delivery SectIon
Signature
3.0 Redeliver (Entarday alweeJr.): X
(AIow 81 '-two dellvery deyo for Printed
.-..ry,"'\lOIoUlP&~
...... your POll Olb 10 8II8Ilge Name
~J
o Leave item at my address Delivery
Address
(SjlecIf ""-10..... ExMnp/e: