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„ SENDER: <br /> y • Complete items 1 and/or-.ter additional services. I also wi=h to receive the <br /> • Complete items 3,and 4 following E es (for an extra i <br /> Print your name and add,*Wbn the reverse of this form so that we can fee)' <br /> return this card to you. <br /> m • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address <br /> does not permit. <br /> r . Write"Return Receipt Requested”on the mailpiece below the article number. 2. ElRestricted Delivery <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> Cdelivered. <br /> m 3. Article Addressed to: 4g. A�ti�leiNu�Number <br /> S <br /> PROLDUC.TII-N CHET"i's I_AC C)tl+ '•.S"'i� 4b. Service Type <br /> E ATTN: LEWYN BOLER,RRES. ❑ Registered ❑ Insured <br /> 1000 E CHANNEL STREET C certified ❑ COD <br /> w STOCKTON,CA 95205— ❑ Express Mail E] Return Receipt for <br /> Merchandise <br /> ¢ 7. Date of Delivery <br /> O <br /> O <br /> Q <br /> 5. Signature (Addressee) 8. Addressee's Address (Only if requester <br /> and fee is paid) <br /> 7 <br /> IP- <br /> U, <br /> ¢ 6. Signature (Ag t) <br /> > PS Form 3811, December 1991 *U.S.CPO:1992-,323-<02 DOMESTIC RETURN RECEIf <br /> n. <br />