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M p • <br /> a <br /> FU <br /> 171- Postage $ <br /> Certifled Fee <br /> + Postmark <br /> © <br /> Return Reciapt Fee <br /> (Endorsement Required) Here <br /> ❑ Restricted Delivery Fee <br /> M (Endorsement Required) <br /> O <br /> fL Total Postage& <br /> >ti KAREN PETRYNA <br /> 1 <br /> Tent-To SHELL EQUIVA SERVICES LLC <br /> M1 Aar:No:; P 0 BOX 7829 ------- <br /> o? OBox No. BURBANK CA 91510-7869 •--- <br /> ----------------- <br /> ary.�rare,z�P;a - <br /> ® Complete items 1, <br /> 2,and 3.Also complete A. Received by{Please Prfnt Clearly) B. D t <br /> item 4 if Restricted Delivery is desired. o of Delivery <br /> • Print your name and address on the reverse <br /> so that we canrr <br /> tck afbnu C. Sign re <br /> • Attach this car t e a c ailpiece, <br /> or on the front if space permits. r , X ❑Agent <br /> " ❑Addressee <br /> 1. Article Addressed to: D, is deli address ffe m iterrt�l'-[3y", <br /> If YE ,enter delivery ad&.Ws beton, ❑ No <br /> r"r <br /> KAREN PETRYNA n <br /> SHELL EQUIVA SERVICES LLC 3. Service Type <br /> 0 BOX 7$29 Certified Mail ❑ ress <br /> BURBANK CA 91510-7869 ❑ Registered ❑.'♦Murn Hefor Merchandise <br /> ❑ Insured(Nail ❑�,p, --r <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number '7002 2030 0001 7625 1734 _ <br /> PS Form 3811,July 1999 f/ // Receipt ��+ <br /> N `v� c.tlr.p`� 102595.00-M-0952 <br />