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M�ertl{lei" �a��. <br /> rovided <br /> flo Insurance C0verage,, InternatioP,,l, Mali <br /> [)a at use <br /> See Reverse) <br /> VAN REIT <br /> 6ERRIT FAMILY TRU ST <br /> 95336 <br /> R PON CA $ .32 <br /> 1.10 <br /> C:erufied Fee <br /> 1) IIcWi Ff <br /> ,CIA <br /> R'slucled DehlerV Fee <br /> 0 Return Receipl Showing 1 .10 <br /> to Whom cy) <br /> &t)aje Delivered <br /> III Ins gAddle" <br /> 1Whom <br /> .1c ReIUTO F1'"'P', sSLe' Addle" <br /> 2 Date,an' Add - $ 2 .52 <br /> T(, AM Postage <br /> &Fees <br /> 0 <br /> 0 P()Slfna(k or Date <br /> fA <br /> 0 <br /> (n <br /> 0- 4 also wish to receive the <br /> 4) ices. <br /> a andfor 2 foradd n extra <br /> following services (for a] 0 <br /> 0 OC. Pfott,�Vms 3' <br /> plote <br /> ' Complete <br /> s 3,and 4a&b. m s that a can <br /> lAd <br /> Address(0 • Print your name and address on the,reverse AddMks ress in <br /> 4) return this card to You. mailpiece on the a space <br /> Attach this form to the front of the <br /> does not permit- the article number. 2. 0 Restricted Delivery Z <br /> Write"Return Receipt Requested"on the maiipiece below <br /> Receipt will show to whom the article was delivered and the date <br /> -W The Return Rece Consult postmaster for fee. <br /> � delivered. 4a. Article Number <br /> M 3. Article Addressed to: Zl <br /> IV <br /> 4b. Service <br /> GERRIT VAN REIT El RegisteredType El insured <br /> E <br /> 0 DFBOER FAMILY TRUST <br /> .Certified 0 COD <br /> U) 95336 Merchandise 0 .5 <br /> P 0 BOX 635 Return Receipt for <br /> RIPON CA <br /> El Express Mail <br /> T. Dat of Deliver <br /> 0 <br /> 8. ddresseE ddress(Only if requested Y. <br /> ature (Addressee)5. Sian (Ad and fee is P <br /> 14j, 6. Signature (Agent) <br /> >- <br /> ------------ <br /> 0 PS Form 3811, December 1991 *U.&GPO:1993-352-714 DO STIC RETURN RECEIPT <br /> D <br />