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SENDER: <br /> -Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> 0 •Complete item�and 4b. wing services(for an <br /> •Print your nam ddress on the reverse of this form so that we can return this a fee): <br /> card to you. ai <br /> j <br /> -Attach this form to the front of the mailpiece,or on the back if space does not �, ❑ Addressee's Address u <br /> Permit. <br /> w •Write'Refum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery y <br /> •The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. $ <br /> ,a I Article Addressed to: <br /> m 4a.Article Number y <br /> s izy Nee Sas <br /> :e Type <br /> TONY MACHADO ered 21tertified IE <br /> MACHADO BROTHERS 5s Mail ❑ Insured <br /> 12700 E LOUISE AVE Receipt for Merchandise ❑ COD <br /> MANTECA CA 95336 Delivery <br /> 0 <br /> 0 <br /> F 5.Received By: (Print Name) 6.Addressee's Address(Only if requested x <br /> and fee is paid) i <br /> g 6.Signature:(Ad ee or Agent) <br /> ~ <br /> �' X �� <br /> N <br /> Ps Fo m 3811, De tuber 1994 Domestic Return Receipt <br />