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SENDER: <br /> q • Complete items i ar^''r 2 for additional services. I also wish to receive the <br /> m • Complete items 3, a&b. follow ervices (for an extra ai <br /> 6 • Print your name an�%.Wress on the reverse of this form so that we can fee): '"0" 'a <br /> return this card to you. <br /> `m <br /> m r Attach this forth to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address y <br /> does not permit. a <br /> m • Write"Return Receipt Requested"on the mailpiece below the article number. Z ❑ Restricted Delivery •o <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. G <br /> delivered. <br /> Article Addressed to: 4a. Article Number � <br /> o�0 83� <br /> m nr.;rnK TVUKJ.-- 4b. Service Type <br /> E CALIFORNIAtkAU1R1UK YVUKF7 ❑ gistered ❑ Insured 0 <br /> o ATTN: FRANC. BRNCKMAN c <br /> U Certified ❑ COD <br /> W 328 3 CALIFORNIA STREET Return Receipt for 7 <br /> W TdCKTJN. CA 'DB2�3 ❑ Express Mail ❑ Merchandise e <br /> 7. D to of Deliv y <br /> ° 2/2��3 <br /> ° c <br /> Q T <br /> 2 5. Si ature (Addr see)/ 8. Addressee's Address(Only if requested <br /> and fee is paid) m <br /> � t <br /> F <br /> 6. Sign u (Agent) <br /> 0 <br /> > PS Form 3811, December 1881 *U.S.GPO:tae2-323-402 DOMESTIC RETURN RECEIPT <br /> m <br />