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SENDER: <br /> V) • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> V • Complete items 3,and 4" b. following s --es (for an extra m <br /> • Print your name and ad )n the reverse of this form so that we can J <br /> feel. <br /> return this card to you. Z <br /> m <br /> O • Attach this form to the(root of the mailpiece,or on the back if space i. ❑Addressee's Address y <br /> V <br /> does not permit. 6 <br /> m Write"Return Receipt Requested"on the mailpiece below teed and he date. 2. ❑ Restricted Delivery •m <br /> • The Return Receipt will show to wham the article was di and the date Consult postmaster for fee. <br /> G deliveretl. ^ , <br /> Is be. <br /> 3. Article Addressed to: 4a. t c <br /> n CALIFORNIA RADIATOR WORKS 4b. ervice Type cc <br /> E ❑ Registered ❑ Insured <br /> O ATTN: FRANK BROCKMAN W <br /> ertified ❑ COD 5 <br /> w 328 S CALI FORNIA STREET Return Receipt for <br /> rn STOCKTON,CA 95203 Express Mail ❑ <br /> UJ <br /> Merchandise F <br /> p 7. Date of Delivery � <br /> p <br /> Q > <br /> z ature dr 8. Addressee's Address (Only if requested <br /> ¢ and fee is paid) m <br /> � L <br /> r <br /> K ignature (Ag n <br /> > PS Form 3811, December 1991 *U.S.GPO:1ea2-323 DOMESTIC RETURN RECEIPT <br /> N <br />