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, <br /> r - ' <br /> C_ <br /> SENDER: d I also wish to receive the <br /> ■Complete rte y a d/ r 2 r I e following services(for an <br /> ■Complete dams an%4e� return this extra fee): <br /> ■Print your namddrv I f <br /> card to you. 1.❑ Addressee's Address <br /> ■Attach this fo mailpiece,or a back If apace does not 2.13 Restricted Delivery N <br /> pennit. <br /> ■Write'Return Receipt Requested°on the mallpiece below the article number. ti <br /> ■The Return Receipt wdl show to whom the article was delivered and the date Consult postmaster for fee. <br /> delivered. v <br /> 4a.Article Number d <br /> 3.Article Addressed to: ¢ <br /> 4b.Service Type <br /> 3 ❑ Registered Certified cc <br /> DARLENE M MANSFIELD ;❑ Express Mail ❑ Insured e' <br /> 13380 W GRANTLINE RD ❑ Return Receipt for Merchandise ❑ CCD <br /> W TRACY CA 95376 7.Date of livery i <br /> c . <br /> 5 n 8.Addressee's Address(On <br /> .R Wed By: (Print Na e) ty if requested <br /> and fee is paid) <br /> 6.Signature: (Add ee o Agent) rn <br /> X iozssr-se B-0zie Do esttic Return Receipt i <br /> PS Form 3811, ecember 1994 <br /> _ r , <br /> _ - --P--590r--_424-_ 62-1=-- <br /> E l US Postal Service <br /> Receipt for Certtied Mail' <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse <br /> Sent to <br /> i Street&Number <br /> Post Office,State,&ZIP Code <br /> Postage $ <br /> t I <br /> Certified Fee <br /> 1 <br /> 1 Special Delivery Fee y <br /> Restricted Delivery Fee <br /> 0) Return Receipt Showing to <br /> ! whom&Date Delivered <br /> q Retum Receipt Shmving to Whom, <br /> a Date,&Addressee's Address <br /> O . <br /> 0 TOTAL Postage&Fees $ <br /> CID <br /> Postmark or Date <br /> a <br /> i <br /> a <br />