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a SENDER: <br /> y0 Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> m • Complete items 3,and following as (for an extra ai <br /> u+ • Print your name and ad on the reverse of this form so that we canV <br /> m return this card to you. feel' <br /> • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N <br /> does not permit. <br /> L • Write"Return Receipt Requested"on the mailpiece below the article number. �. <br /> 2. ❑ Restricted Delivery •m <br /> • The Return Receipt will show to whom the article was delivered and the date {f <br /> c delivered. Consult postmaster for fee. m <br /> v 3. Article Addressed to: 4a. be ac <br /> m <br /> d 9 <br /> °• 4b. Service Type c <br /> E CAL(FORNIA STATE FISH °x GAME ❑ Registered El Insured <br /> °C <br /> vi ATTN: PATRICK,COULSTON Ate&Tfied ❑ COD 5 <br /> w 4001 N WILSON WAY ❑ Express Mail ❑ Return Receipt for =0 <br /> oSTOCKTON,CA 95=05- Merchandise c <br /> Q 7. Datg IiYjz n o <br /> � !N o <br /> ¢ 5. Signature (Addressee) 8. Addressee's Address (Only if requested Y <br /> and fee is paid) o <br /> H M <br /> 6. 19,19Aature IA ent) <br /> T <br /> a orm 3811, 15ecember 1991 ou.s.GPO:teaz�1zs-ooz DOMESTIC RETURN RECEIPT <br />