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a SENDER: r7q,39 t t i/ ` f 1 also wish to receive the <br /> :o •Complete items 1 and/or 2 for additional servit ces. <br /> an •Complete items 3,4a;and 4b. following services(for an <br /> d •Pant your Name and address on the reverse of this form so that we can return this extra fee): <br /> Ncard to you. <br /> •Mach this forth to the front of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address <br /> permit. at <br /> m •w a Return Receipt Rehowto 'onwho thea articles below the article number. p. ❑ Restricted Delivery y <br /> •TTe Return Receipt will show to whom tris article was delivered and the date <br /> � <br /> delivered. Consult postmaster for fee. Z <br /> v 3. Article Addressed to: 4a.Article Number <br /> 2� <br /> MR AND MRS LOUIS DARRIGO 4b. a vice Type d <br /> o E] ReCYCertified <br /> PO BOX 1024 ❑ Express Mail ✓❑\Insured <br /> APTOS CA 95001 ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery <br /> 0 <br /> 0 <br /> a <br /> 5. :7eived/By: (Print Name) 8.Addressee's Address(Only i/requested c <br /> / and lee is paid) M <br /> L t' <br /> PS Form i n Pt <br />