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gM .CCompleie Oil=s,yea aO"� ^ I also wish to receive the <br /> C pcartrd trorL ame and address on re foil ry Or an <br /> !i yo that we can return this extra <br /> f ■Attach this loan to the frost of the mail <br /> ppeerrnn. per'or on the 1.❑ Addressees Address <br /> f r Write'Return Recei <br /> .. Ai Frequested'on the mailpiece bel T <br /> e S, ■rhe Retum Receipt will show to whorn the article was deC 2.❑ Restricted Delivery i$h <br /> E I delivered. <br /> yCOnSuConsulty a [, dr 3.Article Addressed to: postmaster for fee. y <br /> lr r, a A i <br /> .TEFFREY R & D G WAGNER � <br /> 'E i 3776 W GRAFT LINE RD 4b.Service Type E <br /> ,8 p TRACY CA 95376 ❑ Registered <br /> Certified f <br /> ❑ Express Mail ❑ insured to <br /> ` pG� ❑ {ietum Receipt for Memhudise 'i <br /> z z° ❑ COD <br /> 7.Date of Delivery <br /> `m i <br /> ? 5.R eceived 8y:(Print 1VaI <br /> a o 8.Addressee's Address(Only—if—,; <br /> and fee is paid) <br /> J fi.Signature: (AddresseeorAgent) <br /> �- Ps Form 3811,December 1,994 tosses sa s oma Domestic Retum Receipt <br /> Ir <br />