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q • Complete Itendlor 2 for additional services. l <br /> 0 • Complete items and 4a&b. Wish to receive the <br /> • Print.your name and address on the reverse of this form so that we can foHo�g services (for an extra m <br /> return this card to you. 11A g <br /> ID Attach this form to the front of the mailpiece,or on the back if spate ❑ ee's Address <br /> m does not permit. <br /> N <br /> r • Write"Return Receipt Requested"on the mailpiece below the article number. a <br /> • The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery <br /> delivered. <br /> Consult ostmaster for fee, m <br /> co -a 3. Article Addressed to: 4a. Article Number <br /> r` w <br /> GEORGE LECHICH P 298 999 784 <br /> Qom., Iw 4b. Service Type 0 <br /> GEORGE LECHICH ETAL ❑ Registered ❑ Insuredco <br /> °C <br /> yP `0 BOX 881 Certified ❑ COD <br /> Cr oc STOCKTON CA 95201 ❑ Express Mail ❑ Return Receipt for <br /> ru erchandise <br /> Q 7. Date q#Qel .2 <br /> CL a 'o <br /> 5. Signature (Addressee) 8. Addressee's Address (Only if requested Y <br /> and is paid) C <br /> w 6. Si ure (Agent) <br /> F" <br /> D <br /> > P Form 3811, December 1991 ou.s.apo:1'92DO ESTIC RETURN RECEIPT <br />