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- -►' Z 128 784 404 <br /> us Postal Service <br /> Receipt for CeE3ifiefi_Mail <br /> MARK DREWRY <br /> CUE14 AWAY <br /> 1502 WESTBROOK 95 8 <br /> 40DESTO CA <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> `n <br /> 0) Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Retum Receipt Showing to Whom, <br /> Q Date,&Addressees Address <br /> p TOTAL Postage&Fees $ <br /> M Postmark or Date <br /> E <br /> O <br /> LL <br /> (n <br /> tl. <br /> ENDER- �X- �� I also wish to receive the <br /> ■complete it fora or>//ei1'l following services(for an <br /> a ■complete hems 3,4a,and 4bi r80e so that we can return this extra fee): <br /> m ■Print your n and address <br /> card to you. <br /> ■Attach thi>tt9rm to the front of the maiipiece,or on the back if space doss not 1. ❑ Addressee's Address <br /> st awP M TOW Receipt Req s delivered and the date w the article number. 2 0 Restricted Delivery r�'i <br /> tv ■The Return Receipt will sh a ,. Consult postmaster for fee. <br /> c delivered. <br /> 0 4a.Article Number <br /> 3.Article Addressed to: <br /> z <br /> Q 4b.Service Type <br /> MARK DRMY U, 7" . �' [3Registered Certified °C <br /> t <br /> f;f1E� A;�'AY ❑ Express Mail ❑ Insured <br /> 3 <br /> 1502 eiiFST33ROG' COURT !7, <br /> Return Receipt for Marc and ❑ COD `o <br /> MODESTO CA 95358 Date of Delive - o <br /> Y <br /> 5.Received By: (Print Name) <br /> B.Address s Add s Only it requested � <br /> and tee is paid) <br /> 6.S' a re: (Addressee or Agent) �— <br /> o X <br /> A <br /> PS Form 3811, December 1994 <br /> 102595-97-B-0179 Domestic Return Receipt <br />