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t <br /> 5 <br /> 7x-78 479 .842 <br /> us Pasta!service <br /> Rec <br /> No Insurance Cover"? <br /> for Certified Ma+1 <br /> ge PSee reverse <br /> rovided. <br /> Da not use for Intemationat Mail <br /> FS Sent to. <br /> r <br /> S!re FO°BOX 279 <br /> Post pfpode95330 <br /> $ - <br /> Postage <br /> Certified Fee <br /> SpecialDetMO Fes <br /> Residcted DerwOfy Fee <br /> Receipt ceipt slowing to <br /> r Wtiom&Date Delivered <br /> RAm ROWO Whom, <br /> 4 Gate,&Addressee's Address <br /> p TOTAL.Postage Fees <br /> MPostmark or Date <br /> 0 <br /> . w <br /> En <br /> I also wish to receive the ' <br /> e- SENDER: r following services(for an <br /> 0 WComplete do t andlor 2 for additional services. , <br /> tdo <br /> aComptete items 3,4a,and 4b. we can returnthis extra f9e): <br /> �. <br /> m acorn0 Print your name and address on the reverse o this form <br /> m card to you. 9 <br /> space dOO <br /> ■Attach this form to the front of the mailPisce.or on the basic earticle numbs 2.❑ Rgstricted'Q8lN8ry N E <br /> ece below tht_1y <br /> ■Wn r"Retum Receipt Asti esled1\ I 'on the ma`lD+ consult postmaster for f88- <br /> 0 ■The Return fleoeipt will show to whom the article was delivered and the date <br /> delivered. 4a.Article Number ► <br /> w <br /> � 3.Article Addressed'to: � - <br /> �NT�R'.00. INC 4b.Service Type Certified''I <br /> CAR1' � <br /> fl ❑ Registered c <br /> E p0 Box,,279 ❑ insured �, <br /> LATyM4P CA 95330 ❑ Express Mail DD n. <br /> V. ❑ Return Receipt for Merchandi (❑ <br /> � 7,Date of Delivery. <br /> c c <br /> �k <br /> Gd J9 <br /> a <br /> S.Addressee's Addre n if requ t t <br /> 5.Received By: <br /> Print Name) and fee is paid) ► <br /> w <br /> ► 0 <br /> 5ignature: (Addressee or Agent <br /> oX <br /> i �+ 562595-97-9A179 Domestic Return ecelQ ; <br /> 2 PS Form 3511, December 1994 ------ <br /> — - <br />