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CERTIFIED MAIL RECEIPT <br /> (Domestic Mail Only,No Insurance Coverage Provided) <br /> Er <br /> co <br /> ru <br /> U-1 <br /> t:13 Rerwn Receipt Fee <br /> M 'Enclois—nent Rcqu!redi <br /> Ej Restricted behc�y�ee <br /> -3 <br /> �F,Id�rsement R,'(:,weoh <br /> E3 <br /> r— Total Posta, <br /> —0 ciff,,CK NICHOLS <br /> PALISADES GAS & WASH <br /> CT #200 <br /> C3 30101 AGOM <br /> M AGOURA HILLS CA 91301 <br /> -----------— M <br /> C"N' <br /> �M# <br /> a BMW <br /> M Complete items 1,2, and 3.Also OMPlete A.. i nature <br /> item 4 if Restricted Delivery is clescilred. <br /> n Print Your name and address on the reverse x <br /> so th aar�jrWhe card to you. 0 Agent <br /> R Attac mta tI 1�k Of thE("jpW' B.jieceived Y(p ed N 0 Add ssee <br /> or on the fro if spa ermits. C., telof I sc <br /> nt ce p 71"S.—r y <br /> Article Addressed to: D. Is delivery a dress different from item I? 0 yes <br /> If YES,enter delivery address below: 0 No <br /> C"Ll CK NICHOLS <br /> PALi[SADES GAS & <br /> 30101 WASH 3. Service Type <br /> AGOURA CT 1200 Certified Mail 0 Express Mail <br /> AGOURA HILLS 1-9 <br /> CA 91301 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.C.D. <br /> 4. Restricted Delivery?—(Extra <br /> 2 Artic�e Number Yes <br /> label) %V-y <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-,?509 <br />