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SENDER' I also-'-h to receive the <br /> follow services(for an <br /> .Complete items 1 and/ r additional services. extra 4w): <br /> .Complete items 3,4a,��..o. <br /> ■Pdnt your name end address on the reverse of this form so roar we dog m tlxs 1. Addressee's Address <br /> card to you. p. Restricted Delivery <br /> •Attach this torn,to the front of the meilpiece,or on the back H space <br /> P pe"it, R uesred•on the mailplece below the erecta number. Consult pOelmaStef for fee. .� <br /> •C"'Return Recalpt e4 was delivered and the data <br /> 4 a The Return Receipt will show to whom a'a arttcla 4a.Article Number Q <br /> SS delivered. <br /> 3.Article Addressed to: 7 I _J U <br /> — 4b.Service Type dcertified CC <br /> 8047 ❑ Registered <br /> ATTN STEVE CL MENTS Express Mail E3 insured C <br /> WESTERN FARM SVC, INC - S'PfQ1 0 Return Receipt for Merchandise ❑ COD 2 <br /> P.O. BOX 5188 7.Da ery <br /> sTOCRTON CA 95205 <br /> 6.A T Is 0. dleAs'(Only if requested <br /> 5.Received By: (Print Name) <br /> 6 Si ur ( ress,se or e <br /> �r tis Domestic Return Receipt <br /> PS orm 3811,December 1994 <br /> .iFF)fl6F r r c'�tiy <br />