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the <br /> I also wish to receivean <br /> following services( <br /> for SEND s 2 for additional semces a um this eytra fee): <br /> .00 W ComPl 4a,and 4b• a5 this form //�� reSS <br /> — ■ComPiete items 3, t i. �ei7g y <br /> m •Print your name and address on the revers a if N <br /> > 0 card to You to the front of the mail a 2.❑ Restricted Delivery Q <br /> 5 ■Attach this form <br /> permit. ecei t Requested"on the mailpiece bolo the ankle number. Consult postmaster for fee. <br /> rwritelpetum A P <br /> ■The Retum Rece�Pl will show to whom the article was de ivered and the date umber <br /> 4a.Article ��. 2!(� E <br /> delivered. cc <br /> T C/ <br /> d <br /> Article Addressed to'.g, <br /> y 4b.Service TYPO Certified c <br /> DOPVTO S pEERG 72 C] Registered IM <br /> Insured <br /> 190 E yOS�TE p 1<xpress Mail <br /> f�Ai3,�ECA CA .^95336 [I Return Receipt for Merchandise 13 COD <br /> a <br /> 7.Date of Delivery T <br /> 8.Addressee's Address(Only if requested r <br /> xand fee is Paid) E- <br /> 5.Received BY: (Print Name) <br /> w <br /> a 6.Signature:(Addressee or Agent} i <br /> Domestic Return Receipt <br /> 4.X <br /> __anni <br /> V <br /> F <br /> V <br />