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ENDER: <br /> a •complete name dRir i ror addiBonal w4vlae. "Lialso wish to receive the <br /> a •Complete items 3,4a,and 4b. following services(for an <br /> 4t- •Print your name erJQ�addresthe reverse of this form w that we can return this extra fee): <br /> card to> •Attach this form td the from fit e mallpiew,or on the back If apace does not 1, ❑ Addressee's Address <br /> Z <br /> Permit. <br /> y •Wme Return <br /> Receipt Requested'who the marplewas below <br /> vered and <br /> number. 2. 11 Restricted Delivery vj <br /> •The Return Rekx31p1 will show to whom the acids was delivered end the date VL <br /> C delivered. I IN IT TV Consult postmaster for fee. <br /> o <br /> 3.Artlr:e Addressed to: 4a.Article Number is <br /> 7v v L e <br /> E 4b.Service Type ' <br /> ,°, JIM & SHEYLA CREEL ❑ Registered Certified IE <br /> cn <br /> to 125 MUNDY ❑ Express Mail ❑ Insured c <br /> a <br /> o LODI CA 95240 ❑ Return Receipt for Merchandise CI COD <br /> ' <br /> 7.Date of Dell A� c <br /> IX T <br /> 5 Receiv B :(Print N ) 8.Addressee's Address(Only if requested <br /> t y ,t,C.( </\ �L and lee is paid) F <br /> gIgnatu e: a Or Agent) <br /> r <br /> ( X <br /> Ps Form 3811, r 1994 102595-97-B-9179 Domestic Return Receipt <br /> 10 o <br /> a <br /> lu <br /> am u <br /> �► w <br /> m d c <br /> 171 .m(` ? y U $ i g a <br /> Cc " 0� r m <br /> La <br /> z`t— r 8 <br /> � U)�'CL o <br /> �+ H m g ffi m 5 <br /> N u a g a <br /> 5M E E.e <br /> s N �M Z —105 lo o_ Jf d 2 2 ic- <br /> 9661 Ndtl'008£twod Sd <br /> P <br />