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W <br /> f <br /> ,J <br /> . ,. <br /> m 5E10 <br /> a ■Co pieta dem ndlor 2 for additional services. / I also wish to receive the <br /> a ■Complete items 3,,,///ttta,and 4b. y followinYY <br /> ces{for an <br /> I ■Print yr1Ur name ad the revers of thi rm so e c turn <br /> 22 card tc you. <br /> ■Attach this form e n b c�i f <br /> permit. z 1. [1Addressees Address <br /> y y 0 Write F7elum Rene pt Pequesled'ons rfialf i ce belo the Wenumber. 2. ❑ Restricted Delivery <br /> d M ■The Blum Receipt will show to A6m'-$ie article was delivered and thedate a„ <br /> delivered. Consult postmaster for fee. a <br /> a3.Article Addressed to: 4a Article Number _ <br /> I a <br /> CL III,TRANfAit INC <br /> r. E OT BOA 466 4b Service Type <br /> a ❑ Registered Certified W <br /> Cn RANFORD CA 93232-0465 p Express Mai! YInsured c h <br /> m <br /> c ❑ Return Receipt for Merchandise ❑ COD <br /> a 7, ate of Delivery w <br /> 5.Received By:(Print Name) 8. ddressee's Address(Only if requested r, <br /> and fee is pai R <br /> g 6.-ign r dressee App <br /> nt) <br /> T <br /> PS Form 3611, Deer5r 1994 Vmmestic Return Receipt <br /> kp <br /> I <br />