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6 Receipt for _ _ r <br /> - Certified Mail ; <br /> No Insurance Coverage Provided <br /> UNITED S-TES Do.not use for International Mail _ - <br /> (See Reverse) <br /> snt te& M E GLOVER TRS <br /> ! r <br /> A3€ EE MANUFACTURING C R <br /> P. ate <br /> nd ZIFs od <br /> RACY CA 65378 <br /> Postage $ - - <br /> - Certified Fee <br /> Special Delivery Fee - <br /> t Restricted Delivery Fee - - <br /> Return Receipt Showing - - - <br /> tn to Whom&Date Delivered <br /> Return Receipt Showing to Whom, <br /> c:. Date,and Addressee's Address ; <br /> • TOTAL Postage - ` <br /> C &Fees $ 2.29 <br /> _ <br /> Postmark or Date <br /> 00E <br /> o - <br /> LL , <br /> W �• <br /> I <br /> - _ I <br /> m S � � I <br /> y • omp ete it 1 and/or 2 for additions services. 7followiEin <br /> i h t0 eceive the <br /> N Complete items 3,and 4a&b. p Services (for an extra 4) <br /> UE • Print your name and address on the reverse of thiG t a can fvt�l 2 O � <br /> > return this card to you. ��� fees � <br /> '�1] aQ i <br /> *..Attach this form to the front of the mailpiece,or on the back if space 1. Addressee's�Address to <br /> does not permit. <br /> L •'Write"Return Receipt Requested"on the mailpiece below the article number. C <br /> 2. Restricted Delivery <br /> • The Return Receipt will show to whom the article was delivered and the date 'm v • <br /> c delivered. Consult postmaster for fee. (D i f <br /> m 1 Article Addressed to: 4a. Article Number <br /> d A R & M E GLOVER TRS P 298 999 883 <br /> E FAYETTE MANUFACTURING CORP 4b. Service Type i <br /> 0P 0 BOX 61 ❑ Registered ❑ Insured 0) 1 <br /> v) Certified El COD E <br /> rn TRACY CA 95378 y a <br /> LU El Express Mail ❑ Return Receipt for o <br /> Merchandise ' <br /> 7. Date of DeI <br /> V fllTtV 4 A 9 119940 <br /> S <br /> Q <br /> ¢ 5. Signature (Addressee) 11. Addressee'sd ress(Only if requested Y <br /> and fee is pad) <br /> cc 6. Signature (Agent) <br /> i 3 / <br /> HPS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOME IC RETURN RECEIPT <br /> i <br /> i <br />