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v SENDER: <br /> y • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> m • Complete items 3, and 4e&b. following services (for an extra 4; <br /> • Print your name and address on the reverse of this form so that we canU <br /> 0 return this card to you. feel: '> <br /> W a Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address d <br /> does not permit. N <br /> • Write"Return Receipt Requested"on the mailpiece below the article number. d <br /> • The Return Receipt will show to whom the article was delivered and the date 2. 1:1 Restricted Delivery •d <br /> delivered. U <br /> o Consult postmaster for fee. m <br /> m 3. Article Addressed to: 4a. Article Number <br /> ffi DAVE SMITH P 293 132 121 <br /> m <br /> E HERMAN & HELENS MARINA 4b. Service Type x <br /> c ❑ Registered ❑ Insured <br /> U VENICE ISLAND FERRY r U+ <br /> W ElExpreSTOCKTON CA 95209 EExpre s ❑ coo <br /> ss Mail ❑ Return=Receipt for z <br /> ndise <br /> ' - 7. Date of Delivery <br /> o <br /> � 5. Signature (Addressee) 8. Addres a 's Address(Only if requested Y <br /> F and f paid) � <br /> 6. Si net re (Agent) f <br /> c i1 <br /> w PS Form 11, December 1991 *U.S.GPO:16a3-352-]14 DOMESTIC RETURN RECEIPT <br /> r 293 132 I-Pl, <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provided <br /> a Do not use for International Mail <br /> (See Reverse) <br /> WE SMITH • <br /> Mifft ISLAND FERRY <br /> gTd&Td9edeCA 95209 <br /> Postage $ .32 <br /> Certified Fee 1 . 10 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> r ' <br /> Return Receipt Showing 1 10 <br /> on to Whom&Date Delivered <br /> Return Receipt Showing to Whom, <br /> T Date,and Adtlressee's Addres <br /> J <br /> TOTAL Postage $2 . 52 <br /> Q &Fees <br /> C0Postmark or Date <br /> CO) <br /> E <br /> `o <br /> LL <br /> to <br /> a <br />