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SENDER: <br /> n I also wish to receive the <br /> v_ •Complete items 1 a a,a 2 for additional services. <br /> 'n •Complete items 3,4a, ntl 4b. NOV 24 .S following services(for an <br /> u •Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. n <br /> d <br /> Attach this form to the front of the mailpiece,or on the back if ace does not o <br /> � a p 1. ❑ Addressee's Address •� <br /> d permit. <br /> n •Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N <br /> .t. <br /> -The Return Receipt will show to whom the article was delivered and the date 6 <br /> delivered. Consult postmaster for fee. •3 <br /> ° 444�A Article Numb 3� <br /> u 3.Article Addressed to: . /z 1 (� , <br /> L o c <br /> 4b.Service.Type <br /> d <br /> ATIFN DIANE LERI ❑ Registered Certified <br /> e CHEVRON PRODUCTS COMPANY ❑ Express Mail ❑ Insured 5 <br /> o P O BOX 6004 n <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> SAN RAMON CA 94583 7.Date of <br /> Z 5 r <br /> 8.Addressee's Address(Only if requested <br /> '0 <br /> —I 5. Received By: (Print Name) ( y c <br /> and lee is paid) r <br /> to - <br /> g 6.Signatur dr a gent) <br /> T <br /> a PS Form 3811, December 1994 Domestic Return Receipt <br /> PS Form 3800,April 1995 ozmc <br /> y� <br /> z <br /> 3 Nm �.6 <br /> n ...r N N <br /> o q o m _m <br /> �90M' r <br /> m� N <br /> ATTN DIANE LERI v <br /> CHEVRON PRODUCTS COMPANYw- <br /> P O BOX 6004 <br /> SAN RAMON CA 94583 a <br /> m m .n <br /> -,t <br /> m <br /> l <br /> VZ AON <br /> � � k <br />