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;� <br /> I' <br /> Z '128 784 4411 <br /> ? US Postal Service <br /> KAREN. PETR�NA <br /> EQUILON ENTERPRIS S + <br /> ?`k C/O EQUIVA SERVIC S LLC 7. T <br /> P O BOX 7869 r. <br /> BURBANK CA 91!10-7869 <br /> i { <br /> Postage $ , <br /> Certified Fee <br /> Special Delivery Fee l! <br /> Restricted Delivery Fee <br /> Mt Ln <br /> rn ReturnReceipt Showing to <br /> Whom&Date Delivered <br /> Return Receipt Slvwir g tD Whom, <br /> Date,d Addressee's Address e <br /> _ CD TOTAL Postage&Fees is y . <br /> art t`� Postmark or Date <br /> 4' <br /> ri <br /> i• + • �''"'wa. * J' i. F a ..i§: 'J J ai 4'� .! .j T �,,. ,S,'t r 1. ' <br /> m SENDER:, <br /> t7' ■Gomplete items t andl r 2 for adds on rvices. I also Wish to receive the <br /> V} ■Complete items 3,4a,and ab. / ,rye+ _ following services(for an r <br /> = m r_Print your name and address orf f �e rse is a fh u #lis ' <br /> card to you. extra fere): <br /> ?. mAttach this form to the front of the mei I or on beck If spa does nut <br /> permit. 1. �TAiidresge's Address m r <br /> 4• -■Write-Refum Receipt Requested'an tt"'mailpiece below the amid number. p, ❑ Restricted Delivery—, <br /> -S- ■The Retum Receipt will show to whom the article was delivered-an the date —� <br /> C delivered. 2nm I-•Ir r Consult postmaster for fee. a t <br /> 3.Article Addressed to:- 4a.-Article Number - m y <br /> cc <br /> ;.-�_� ..-.__.- _- �.. .. _- ` -�� 4b.Service Type e _-'3 , <br /> 0 .ART,,PETR4A i ' <br /> © Registered erfified CC <br /> CQUILON ENTERPRTSES © Ex ress Mall - <br /> p © InsuredG <br /> /O EQUINA SERVICES LLC 40 <br /> ❑ {tetum:Recefpt for Memhandse p COD " <br /> P O BOX 78690 , <br /> � r7�—Eleof0efivery-.. .� <br /> BURBANK CA 91510-7869 o_r <br /> 5.Received B :(Print Name) 8.Addressee's Address(Only if requested p <br /> and fee is paid) +■ c <br /> 6.Signature: (Addressee or Agent) <br /> y_ <br /> PS Form 3811, December 1994 102 95-97-8-0179'VQ9=c MUM Receipt � <br />