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CERTIFIED MAIL RECEIPT <br /> POMOstic Mail Only,No Insurance Coverage Provided) <br /> m <br /> .n <br /> fl'7 Postage $ <br /> certified Fee <br /> C3 Postmark <br /> Returnceipt Fee <br /> -0 (Endorseme:�Required) Here <br /> Restricted Delivery Fee <br /> (En d o rs a me n 4Re q u ired) <br /> C3 i� r <br /> i <br /> C3 total Postt�ELAINE KLUVE <br /> LnLStr—eet,Apt. <br /> 36220 HARPERS FERRY DRIVE <br /> ru _ <br /> STOCKTON CA 95219 <br /> .1 -------- <br /> -q N—2 <br /> ■ Complete items 1,2 and 3.Also complete A , • <br /> item 4 if Restricted Delivery is desired. Signature <br /> ■ Print your name and addreS§on the reverse X <br /> so that we can return the card to you. 0 Agent <br /> Attach e119WO �p� Addressee <br /> or on the f s c he mailpiece, B. Received by(printed Name) D a o <br /> ry <br /> I. Artir;fe Addressed ta: <br /> D. Is delivery address different from item I? <br /> e <br /> If YES,enter delivYes <br /> T ry address below; ❑No <br /> r <br /> ELAINE KEM <br /> 36220 HARPERS FERRY DRIVE 3. Service Type <br /> STOCKTON CA 95219 X' —Certified Mail <br /> El Express Mail <br /> egistered ❑ Return Receipt for Merchandise <br /> EJ Ensured Mail C]C.D.D. <br /> ~� very?(Extra Fee) <br /> 2. Article Number 4. Restricted DeliC3 Yes <br /> (Transfer from service label) <br /> PS f=orm 381 l,August 2Q 1 <br /> �( /'l� �/ �S p�DorTlffstic Return Receipt <br /> �5.�.^�,[. �J,`¢-✓''/f:/17_ �Y�/�,rC,..!RJ_•1'r._ 1025 -01-M- 09 <br />