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l <br /> CO <br /> a <br /> Post-it®Fax Note ' 767f Date t ,� DO Pages 0 <br /> a� U 2 rn j 1` <br /> ,n �= ;� ; A a vS To i JCC e !. From bOV.,ret i <br /> a W Z o L Co./Dep Co. S EN D <br /> r� <br /> 144 <br /> Ir ��V Phone# Phone# - <br /> , L xx �c � b g�33 < <br /> 0 C C7 ULL <br /> o a Fax" Fax# <br /> — Q'; a3 � LL <br /> 0 <br /> c7 <br /> �CE , r- <br /> Cr a cc 3: a <br /> 966L ludt/'Cpgg waod Sd <br /> I � <br /> . r <br /> d SEN <br /> a .Com i or 2 for additional services. I also wish to receive the <br /> �+ ■Comp ete items 3,4a,and 4b. followingsery CQ (fo <br /> Print your name and address on the reverse is form sa m t <br /> extra <br /> � 11OW <br /> card to you. �d y <br /> a �Attacb this.jkxrgto the front of the mai€piece r o t 1. 0 Addressee's Address <br /> �+ permit. "t;4MA <br /> ■Write"Ret�rq �Requested'on the mdllpi ce le number. 2. ❑ Restricted Delivery rn <br /> w ■The Return, wilt sl Rvv to whom"irticle was deW.Oi d end the date r, <br /> o delivered. "fin✓ Consult postmaster for fee. ; <br /> 3.Article Addressed to: 4al Article Number oma, ti <br /> E JEFFREY K & D G WAGNER 4b.Service Type ; <br /> 3776W GRANTLINE RD ❑ Registered [.,Certified °C <br /> W TRACY CA 95376 d Q' <br /> w [j Express Mail Insured <br /> o A ❑ Return Receipt for Merchandise ❑ COD <br /> a + .: 7.Date of Deliv ry <br /> a <br /> 5. Received By:(Print Name) S.Addressee's Addr ss(Only if requested l <br /> W and fee is +� <br />€ � fi.SignatuAddress e r e } <br /> H X <br /> PS Form 3 , December 1 4 VDodiesfic Return Receipt <br /> l <br /> f <br /> t <br /> r <br />