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l~i P,298 9'99 813=~ <br /> r, ReceiprX 5 <br /> Certified Mail-'m" , <br /> No Insurance Coverage Provided <br /> r®5 Do not use for international Mail <br /> aasY.�scrmcc <br /> (See Reversal - <br /> Sent to - <br /> w Street and No. ;a C 111 <br /> 4579 ACAMPO <br /> .�! P.O.rState and ZIP Code e-.- <br /> ACAMPO CA 95220 <br /> Postage. ' $ - .29 <br /> Certliied Fee 1.00 <br /> • I <br /> Special Delivery fees <br /> Restricted Delivery Fee <br /> Return Receipt Showing 1.O <br /> to Whom&Date Delivered <br /> I Return Receipt Showing to Wham, , <br /> e Date.and Addressee's Address <br /> TOTAL Postage <br /> &Fees ,7 <br /> O Postmark Cr Date <br /> 00 <br /> `.C, P F <br /> G 1:L <br /> O <br /> N x <br /> a <br /> also wish p receir� the <br /> SENOR; <br /> r� Complete items 1 and/or 2 for additional servicesfollowing services (for an extra a. <br /> • Complete items 3,and 4a&b. form so that we can fe):e <br /> y • Print your name and address on the reverse of this <br /> T) BAM <br /> return this card to Y011. 1.. ❑ A y <br /> • Attach this form to the front of the mailplece,or on the back if space «_ <br /> m = CL <br /> L does not permit. 2. ❑ Restricted Delivery 5 <br /> • Write"Return Receipt Requested"on the mailplece below the article number. <br /> 1 + The Return Receipt will show to who the article was delivered and the date Consult postmaster for fee. 4D <br /> o delivered. 4a, Article Number C <br /> 3. Article Addressed to: P 298 999 813' � ' <br /> m MOHAMED MOZEB 4b. Service Type cc <br /> EA ,$ M MARKET ❑ Registered ❑ Insured C0 <br /> 0 4579 ACAMPO Wertified ❑ COD <br /> c <br /> r Return Receipt for 4z)N ACpPO CA 952 ❑ Express Mail ❑ Merchandise o= <br /> LU 7. Date of Delivery <br /> 0 <br /> a S. Addresse ' Address lOn1y if requested. <br /> 5. ignature !Ad see) and fee p d) <br /> H <br /> 6. xSignature (Agent) <br /> PS Form 3811, December 1991 *U.S.GPO:1992-323-402ME IC RETURN RECEIPT <br /> N � - <br /> 1 <br />