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Z 187 935 596 <br /> US FostaI ;'erV" <br /> Receipt f ehiedmil <br /> MARK DREWRY <br /> CHEM AWAY <br /> 1502 WESTBROOK CT <br /> MODESTO CA 95358 <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> u� <br /> Return Receipt Showing to <br /> T Whom&Date Delivered <br /> n Return Receipt Showing to Whom, <br /> `t Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees $ <br /> CO Postmark or Date <br /> CL <br /> \3 ?40 <br /> d S NE <br /> ■ComPD-- <br /> t �t 2for additional services. IaISOWIS t0 reC a the <br /> Comtems 3,4a,and 4b. <br /> � ,■Print your name and address on the re of fo following services(for an <br /> card to you. e c n rn this extra feIRIA <br /> ^Attach this form to the front of the mail ce r 1 ❑ s <br /> d permit. <br /> e ck i s es <br /> d "'WriteReturn Receipt Requested'on the mailpiece b bw the articl number. <br /> ■The Return Receipt will show to whom the article was delivered and the date 2 Restricted Delivery to <br /> c delivered. <br /> 0 postmaster for fee <br /> _ Consult . <br /> p_ a <br /> MARK DREWRY 14a.Article ^lu ber 01 <br /> CHEM AWAY93r T. <br /> 1502 WESTBROOK CT i4b.Service Type 3 <br /> '❑ Registereds <br /> i MODESTO CA 95358 Certified <br /> ❑ Express Mail <br /> Insured <br /> C ❑ Return Receipt for Merchandise ❑ COD H <br /> c � <br /> ` 7.Dat Bare w <br /> 1 <br /> ~I Re"lved By:(Print Name) ° <br /> 8.Addresseedress(Only if requested a <br /> Y <br /> and fee is td <br /> 3 ¢.Si t (Addres ee_gc ent) 4 <br /> 1 <br /> o i Qj <br /> a <br /> S Form 3811 ecember 1394 <br /> Domestic Return Receipt <br />