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Z 128 782 718 <br /> US Postal Service <br /> Receipt for Certified M Mil <br /> No Insurance Coverage Provided. " <br /> ATPN RAY HUGGINS <br /> NEW JERUSALEM SCHOOL <br /> 31400 KOSTER RD <br /> TRACY CA 95376-8824 <br /> Special Delivery Fee <br /> in Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> o. Retum Receipt Showing to Mmcom <br /> Q Date,&,addressee's address <br /> Q <br /> OW TOTAL Postage&Fees <br /> Postmark or Date <br /> 0 <br /> w <br /> aSENDER: -- ---�--- <br /> ■ComPlete hems t and/or 2 for additional services, <br /> M <br /> 11 complete hems 3,4a,and 4b. �� I also wish to receive the <br /> card to you. <br /> m ■Print your name and address on the reverse of this form so that we can return this extra fee)following services(for an <br /> E r Attach this form to the front of the mailpiece,or on the back if space does not <br /> permcf 1.11 Addressee's Address 2 <br /> r ■Write"Return Receipt Requested,on the mallpiece below the article number. 2.EJ Restricted Delivery <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. <br /> 0 3. Consult postmaster for fee. a <br /> _� 4a.Article Number <br /> m AY HUZ ' /ate. 7r� <br /> CL ATTN RGGINS <br /> � 4b.Service Type <br /> S NEW JERUSALEM SCHOOL ❑ Registered <br /> 31400 ROSTER RD ❑ Express Mail Certified ¢ <br /> ❑ Insured e <br /> TRACY CA 95376-8824 ❑ Retum Receipt for Merchandise ❑ COD a <br /> 7.Date of Delivery <br /> 0 <br /> 5.R sive y:(Print Na102- <br /> me 8.Address e's ddress(Only if requested <br /> and fee is paid) <br /> 6.S ur ddressee or an <br /> o <br /> 00 PS f=orm 3811,Dece er 199 <br /> 102595-98-B-0229 Domestic Return Receipt <br />