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,g SERUM. <br /> • Complete items 1 and/or 2 for additional services. I els Wish to receive the <br /> N m <br /> • Complete items 3,and 4e&b. f0110Wng` SarviC¢yS (fOr an extra U <br /> • Print your name and address on the reverse of this form so that we can feel: C.1�p 0 1 199@ '� <br /> O return this card to you. <br /> m <br /> O • Attach this farm to the front of the meilpieca,or on the back if space 1. [1 Addressee's Address y <br /> I does not permit. +' <br /> L • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery G <br /> The Return Receipt will show to whom the article was delivered and the date m <br /> c delivered. Consult postmaster for fee. S <br /> v 3. Article Addressed to: 4a. Article Number C <br /> P 298 999 855 5 <br /> n GEORGE AND MEI TERANISHI 4b. Service Type <br /> E 1600 WEST DURHAM FERRY RD ❑ Registered ❑ Insured a <br /> oertified ❑ COD 5 <br /> H TRACY CA 95376 =Receipt t for <br /> inclise <br /> w ❑ Express Mail ❑ March Receip <br /> p 7. Date of Delivery7 w <br /> o <br /> Z 8. Addressee's dress(Only if requ+;ted Y <br /> 5. i ature (Addressee) <br /> Y and fee Is i 1 <br /> 6. i nature (Agent) ~ <br /> > PS Form 3 11, December 1991 *U.S..GPO:1996-352-]14 b0MESTIC RETURN RECEIPT <br /> 2 <br />