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1 <br /> a SENDER: also wish to receive the <br /> p •Complete items 1 and/or 2 fora dition I services. <br /> 0 •Complete items 3,4a,and 4b. following services(for an <br /> w •Prim your name and address on the reverse of this form so that we can return this extra fee): <br /> ai <br /> > •Attch tcani to his form to the from of the mailpiece,or on the back if space does nu. ot t, ❑ Addressee's Address 2 <br /> v permit. m <br /> y •Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery to <br /> aThe Return Receipt will show to whom the article was delivered and the date "a <br /> delivered. Consult postmaster for fee. .0 <br /> ° 4a.Article Number ¢ <br /> v 3.Article Addressed to: <br /> v <br /> c <br /> v <br /> Type <br /> ^BILL SAVAGE eredUkeertified <br /> MOORE PETROLEUM ;s Mail ❑ Insured <br /> BANTA BOX <br /> CA7 95304 Receipt for Merchandise ❑ COD <br /> w <br /> Delivery � 17 r <br /> fl5.Received By:(Print Name) 6.Addressee's Address(Only if requested c <br /> w and fee is paid) F <br /> g 6.Signature:(A rAga <br /> 0 <br /> Domestic Return Receipt <br /> T <br /> PS Form 3811, December 1994 <br />