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SENDER: r also wish to recetve the <br /> ■Complete items 1 anNor 2 for additional services. UPSET IV <br /> •Complete home 3,4a,and 4b. following services(for an <br /> ■Print your name and address on the reverse of this form so that we can return this extra fes): <br /> card to . <br /> ■pAettach c�aucorm to the front of the mallp� ad*e,or on the ba space does not 1.❑ Addressee's Address <br /> Write . <br /> ■ Retum Receipt Requesfe&on the mallplece berow,the article number. 2.❑ Restricted Delivery <br /> ■� m Receipt will show to wham the article was delivered and the date Consult postmaster for tee. <br /> 4a.Article Number <br /> o MARY JO EUSTIS 7e - ' 7 <br /> r` 5457 COVEY CREEK CR 4b.Service Type L E <br /> ru STOCKTON CA 95207 ❑ Registered 45 Certified I <br /> u <br /> Co ❑ Express Mail ❑ Insured c <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 143 <br /> tL <br /> u 7.Dat of Delivery, <br /> rq <br /> N 5.Received By: (Print Name) 8.Aclressee's Add r ss(Only if requested <br /> and fee is paid) <br /> B.Signature: (Addressee or Agent <br /> X <br /> " Ps Form 3811,Decemb 194 +azs9s se a oxze Domestic Return Receipt <br />