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SENDER: I also wish to receive the <br /> m <br /> •Complete nems t a 2 for additional services..Complete name ae 3,da,e,and ss extrafollofee services(for an <br /> •Print your name and address on me reverse of this form so that we can return this •Xlfe fee): <br /> - card to you <br /> •At[ecn •form to the from of the mailpiece,or an the beck if apace does not 1.❑ Addressee's Address <br /> r9 <br /> m a Write'Return Reoso Requested'on the meflosce below the arnde number. 2.❑ Restricted Delivery <br /> ft. <br /> L e The Return Receipt wnl show to whom the article was delivered arta the daw <br /> delivered. Consult postmaster for fee. E <br /> € 3.Article Addressed to: 4a.Amide Number <br /> 9368 4b Service Type <br /> ATIN RON CYMANSKI ❑ Registered t] Certified <br /> - a <br /> ADVANCED INDUSTRIAL COATINGS, INC ❑ Express Mail ❑ Insured g' <br /> INDUSTRIAL <br /> STOCKTON CA 95206 and❑ Return Receipt for Merchise ❑ COD <br /> STO <br /> 7. Date of Delivery <br /> • Otl180d 8'0 fjll£Ojj /{"ate S. Received By: (Pont Name) <br /> naiaw8.Addressee's Address(Only if requested <br /> Y <br /> ° � <br /> and fee/s paid) <br /> • Signature: (Addressee or Agent) <br /> = 00' 0 . -se6.d psao �a x <br /> 4 102ses-9e-e.0ne Domestic Return Receipt <br />