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r'r r <br /> '* t <br /> SiElmod WMPLETE THIS SECTION • <br /> f t r t t items t,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery ' <br /> ,ien estricted Delivery is desired. <br /> ■ Prir name and address on the reverse <br /> so, V can return the card to you. C. Signature <br /> ■ Atte- 'is card to the back of the mailpiece, X ❑Agent <br /> or r 3?.Ent if space permits. ❑Addressee <br /> 1. Artie 4. sed to: �� D. Is delivery address different from item 1? 1:3 Yes <br /> } <br /> UNIT Iv If YES,enter delivery address below: ❑No <br /> 'EXA - ERGILLI7�D <br /> P t .Ed 5261 <br /> CA 95378-0525 <br /> 3. Service Type <br /> i ❑Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes ' <br /> 2. Ar .�•-;-Onbef(Copy from service label) , <br /> �rn Receipt �n 1025$5-99-M-1789 <br />