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Z 128 784 520 <br />US Postal Service <br />Receipt for Certified Mail <br />3436 ADMIRAL DRIVE <br />STOC'TON CA 95209 <br />Postage <br />$ <br />Certified Fee <br />Special Delivery Fee <br />Restricted Delivery Fee <br />Retum Receipt Showing to <br />Whom & Date Delivered <br />Rehm Receipt Showing to WIM, <br />Date, 6 Addressees Address <br />TOTAL Postage & Fees <br />$ <br />��7 <br />Postmark or Data <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your= a�1 lyfdt #n the reverse <br />so that W e n h to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. UNIT I'v <br />1. Art <br />icle Addressed to <br />ROGER HIICRINS JR <br />3436 ADMIRAL DRIVE <br />STOCKTON CA 95209 <br />/rom <br />by <br />B. Date of Delivery <br />❑ Agent <br />X �i rt ❑ Addre <br />D. Is ddlivery address different from Rem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. a Ice Type <br />�ertified Mail ' O Express Mail <br />//❑``Registered ❑ Retum Receipt far Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra <br />PS F rm 3811, my 1 9 estic Re rn Receipt <br />Fee) ❑Yes <br />