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n <br /> `�-� END �� 7fe to receive the <br /> W • Complete items 1 and/or 2 for additional services. <br /> ID <br /> Complete items 3,and 4a b. ces (for an extra <br /> i •,Print your name and address on the reverse of this form so that we can 0 return this card to you.Attach this form to the front of the mailpiece,or on the back if spacssee's Address <br /> does not permit.Write"Return Receipt Requested"on the mailpisce below the article number. 2. cted neliveryThe Return Receipt will show to whom the article was delivered and the datew <br /> co Gdelivered. aster for fee. tr <br /> U- 3. Article Addressed to: 4a. Article Number <br /> m LARRY ORSTROM P 298 999 798 r <br /> 4b Service Type 0 <br /> � <br /> E FREMONT STREET ASSOCIATES El Registered ❑ Insured W <br /> 4500 E FREMONT STc <br /> x$Certified El COD <br /> co w STOCKTON CA 95215 ❑ Express Mail ❑ Return Receipt for 5 <br /> W Merchandise G <br /> o ^ <br /> ru i..pQ 7. Dat,903 "" <br /> r[y � <br /> Q o <br /> Q` Z 8. Addressee' ress (Only if requested <br /> cc 5. Sig ature ddressee [ <br /> and fee is aid a <br /> x 6. g ature g 4g <br /> 4 <br /> 7 (/ <br /> 0 <br /> PS Form 3811, December 1991 *U.s.GPO;1002--3za-aca OMESTIC RETURN RECEIPT <br />