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n. <br />"' SENDER* <br />I also wish to receive the <br />9 • Complete items 1 antl/o, 2 for additional services. <br />x <br />items 3, and <br />following �as (for an extra <br />u <br />•` <br />m Complete <br />0 Print your name and ad n the reverse of this form so that <br />we can fee): <br />m <br />d return this card to you. <br />• Attach this Corm to the front at the mailpiece, or on the beck <br />it space 1. El Address <br />y <br />6 <br />m <br />does not permit. <br />a1 write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery <br />0 <br />- <br />• The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br />C delivered. <br />4a. Article Number � <br />E <br />ro 3. Article dressed to:.. <br />W <br />P DID .v <br />AMER!GAS INC (HWi� 99 & PELT IER. <br />ab. Service Type <br />¢ <br />E ATTN: PAUL ELKIN5 <br />❑ Registered ❑ Insured <br />0 <br />&?Ir5ertified ❑ COD <br />106 W ELM STReturn <br />Receipt for <br />❑ Express Mail ElMerchandise <br />w LGDI, CA 95240 <br />G7. <br />Date of Delivery <br />� <br />o <br />D —Z <br />a <br />S. Addressee's Address (Only if requested x <br />5. Signa 1 resseel <br />and fee is paid) <br />0 <br />B <br />0 <br />m <br />CU:S.GP0:1992--323402 DOMESTIC RETURN RECEIPT <br />