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Z 18? 935 620 _ . <br /> n <br /> SERA DAUGHERTY <br /> 2402 ROSF-LAW" ,X 76308 <br /> WRITCHITA FALLS <br /> post office,State,&ZIP Code <br /> Postage <br /> Certified Fee <br /> special Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> rn Return Receipt Showing to <br /> whom&Date Delivered <br /> Retum Receipt Showing to <br /> Q Oate.&Addressee's Address <br /> O TOTAL Postage&Fees <br /> Go <br /> CO) postmari�or Date <br /> -tL. <br /> U? " <br /> SEND E,e � also wish to receive the <br /> fo additional services. following services(for an <br /> 0 <br /> :Complete <br /> itoms 3,4a,and 4b. that w can return this eXtr 5 � <br /> d <br /> sprint your name and address on the reverse of this dressee' esS <br /> 0 card to you. n e f app does not 1. 4) <br /> d ■Attach this form to the frorit of the i ie <br /> permit_ rec ow t a icle number. 2. ❑ Restricted Delivery r <br /> ■Write'Return Receipt Requested'on Consult postmaster for fee. <br /> t ■The Return Receipt will show to whom the article wa delivered and the dale <br /> delivered. <br /> c 4 c` er� L aC <br /> o c <br /> � 3.Article Addressed to: <br /> SERA DAUGHERTX 4b.Service Type a, <br /> 4 Certified fs <br /> 0 2402 ROSELAWN insured IM <br /> S <br /> ❑ nsured . <br /> N WHTTCHITA FALLS TX 76308 [1 Express Mail 3 <br /> [IRetum Receipt for Merchandise ❑ COD w <br /> In, <br /> 7.D t f Delivery <br /> P <br /> a <br /> z <br /> 8.Ad ressee's Addie s Only if requested a <br /> 5.Received By: (Print Name) and fee is paid) <br /> f— F- <br /> tr <br /> 6.Signature: (Addy®ssee or Agent) <br /> �' ` ` Domestic Return Receipt <br /> PS Form 3811, December 1994 <br />