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ssaippe uan>aa dLTf-P-jgl51A aqj <br />1�0 <br />} adoianua jj&I aano auii Ie pioj <br />■Complete itemsl 1 and/or 2 for akidnal services.- I also wish to receive the <br />■Complete items 3, 4a, and 41b. following services (for an <br />■Print your name and address on the reverse of this form so that we can return this extra fee): <br />card to you. a; <br />■Attach this form to the front of the mailpiece, or on the back if space does not1. C1 Addressee's Address 0 <br />permit. <br />■ Write'Return Receipt Requested' on the mailpiece below the article number.2. ❑ Restricted Delivery rj <br />■The Return Receipt will show to whom the article was delivered and the date <br />delivered. Consult postmaster for fee. <br />3. Article Addressed to: <br />LESTER SCOTT <br />740 POSTGROVE PLACE <br />TRACY CA 95376-9023 <br />5. Received By: (Print Name) <br />6. Signature: (Addressee or Agent) <br />X <br />PS Form 3811, December 1994 <br />4a. Article Numbercc <br />d <br />,.e Type <br />«' <br />ered p -Certified <br />cc <br />>s Mail ❑ InsuredE <br />rn <br />.y <br />Receipt for Merchandise ❑ COD <br />Delivery <br />0 <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />t <br />t— <br />omestic Return Receipt <br />1 <br />