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cl' SENDER: U1 jr f I <br /> ■Complete items 1 and/or 2 for additional services. t I�8�1�50 wish t0 receive the <br /> a ■Complete items 3,4a,and 4b. C! { I �- ►r 4 6lU+t+ ing services(for can <br /> h ■Print your name and address on the reverse of th s a3nthat we can return this extra fee): <br /> card to you. v <br /> y ■Attach this form to the front of the mailpiece,or on the back if space does not 1. El Addressee's Address <br /> `y •Write'Rerurn Receipt Requested'on the mailpiece below the article number. z, ❑ Restricted Delivery W <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. <br /> 0� 4a.Article Number ate[3.Article Addressed to: <br /> CL 4b.Service Type = <br /> 0 C,EWEKE FAMILY LP IV ❑ Registered I?Gdertified °C <br /> rn <br /> �sn, P O BOX 1210 ❑ Express Mail ❑ Insured G <br /> W LODI CA 45241 <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> 7.Date of De'very <br /> a <br /> L <br /> z � 1 <br /> (Only requested <br /> uested <br /> - 5:R ed �'Prrnt Name) 8.Addressee's Address/! ( g � <br /> UJ <br /> ' and fee is paid) <br /> a 6.Signature: (Addressee or Agent) <br /> �°+ X <br /> PS Form 3811, December 1994 102595-97-8-0179 Domestic Return Receipt <br />