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S I also wis to receive the <br /> $ •Com�lete items 1 and/or forira <br /> ces <br /> a . <br /> Complete Items 3,4a,an following services for an <br /> ,q� •Print your name and addresst s at we can return this extra fe <br /> d card to yqa. JUN 151999 g l <br /> .Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address <br /> d Pend. <br /> .Write QJAWrn Receipt Requesred'on the mallplece below the�r pmtb�r. 2.❑ Restricted Delivery <br /> •The Retum Receipt will show to whom the article was deliver !M me'dak <br /> d.Wered. Consult postmaster for fee. a <br /> 4a.Article Number <br /> GEORGE TERANISHI • 7 <br /> n GEORGES SERVICE 4b.Service Type <br /> 0 1600 DURHAM FERRY RD ❑ Registered Certified <br /> TRACY CA 95376 ❑ Express Mail ❑ Insured <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 0 T Date of Deliv/ery. 6 <br /> o <br /> 3. wed By: (Print Name)- 8.Addressee's ress (Only if requested ,Y <br /> y J) and lee is 'd <br /> 6.Signature: (Addressee or Agent) <br /> i X <br /> Y1 PS Form$811,December 1994 102595-9e-eu2z9 Domestic Return Receipt <br />