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U.S. Postal Service,, <br /> CERTIFIED MAIL,, RECEIPT <br /> S <br /> rq (Domestic Mail Only;No Insurance Coverage Provided)M <br /> M <br /> ra <br /> D- <br /> Postage $ <br /> M CertI letl Fee <br /> 17 - Postmark <br /> M Rehm Receipt Fee Here <br /> O (Endorsement Required) <br /> Re orloted DelWery Fee <br /> O (EndorsemeM Required) <br /> N <br /> D <br /> ru Total Poste <br /> ANN HARGROVE <br /> � 't' d 5540 CAVITT STALLMAN RD <br /> C3 a"vo`ad,`M GRANITE BAY CA 95746-9427 <br /> CIM State,2 RE:19107 E HWY 26-CD0o3MI2 0.TN:1W <br /> `r <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTIOJV ON DELIVERY <br /> ■ Comlate ke.,,QQ11s a, Mild complete A. si <br /> Rem d F stilcted Delivery is desired. <br /> ■ Print ur hame and address on the reverse X 13 Agent <br /> so thwe4can return the card to you. <br /> ■ Attac ' "ogd to the back of the mailpiece, B. Received by(Ponied a J C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to - dlHerentfrom Rem 17 ❑Yes <br /> If YES,en e,- slivery address below: 0 No <br /> ANN HARGROVE 02 <br /> 5540 CAVITT STALLMAN RO <br /> GRANITE BAY CA 95746-9427 e <br /> Certified Mail 13Express Mail <br /> rte.19io7ExwYz6-codo3s6rz RT M Certified <br /> 0Return Recelptfor Merchandise <br /> ❑Insured Mail 0 C.O.D. <br /> 4. ResMcted Dellveryl(Odra Fee) ❑Yes <br /> 2. Article Number <br /> (rmnsfer from service Iabeg 7 011 29711 0003 913 3 1416 <br /> PS Form 3811, February 2004 Domestic Return Receipt <br /> 102595-02-M-1540 <br />