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l . <br /> P' 3?9 <br /> US Postai . e. , Mail'"" . <br /> Re ei ' or <br /> r j&,: a:�AFIGNA <br /> PAYLESS BUILDING <br /> 5221 E Aa*Tb tRD �- <br /> t AC0 CA 95240k� <br /> M jiti <br /> Postage <br /> " 4 <br /> Certified fee r . <br /> r, <br /> Spacial Delivery Fee <br /> Restricted Delivery Fee li. <br /> rnRetum ReceiPt Showinverg to <br /> r Whom&Date Deli �e1 <br /> F Relum FIrIAPt"'n9 <br /> Q Date.&Addressees Address <br /> ,i <br /> TOTAL Postage&Fees <br /> CO) <br /> Postmark or Date ,',l r <br /> LL I ' <br /> nN- <br /> also w h to receive the <br /> _ �• y G� 1 <br /> C7,0S =NO. Ifollowing services(tor an <br /> ceor 21or additional seal s nt this Xtra tee)- <br /> o aa.and ab. A�rq7s e <br /> �� items 3, the reverse of this fol A <br /> ry ■print your name and address on f d <br /> m 0.card to you• horn of the mailpiece,or I 2.❑ Restricted Delivery N <br /> d .Attach this form to the m ¢ <br /> wpermiI liver and the date Consult postmaster tOr f8-. <br /> permit. Aeceipt Requested'on the mailpi <br /> ;The Return Recerpt vrl4l show to whom the articl wa6 <br /> y .� p 4 rticle Number Q <br /> delivered. 3 jJ C <br /> C 3.Article Addressed to: <br /> 4b.Service TyPe Certified <br /> joIRI GRAFIGM ❑ Regat <br /> E PAYLESS BUSING �? reared �11nsured <br /> 0 5221 E AWTo # Express Mail COD <br /> 3 <br /> sn ACP��O 85240 ❑ RetumFteceiptforMerchandse ❑ <br /> w a 7.Dat of Delivery c <br /> r <br /> o •._-_--_'— rf nested <br /> Addressee's ddress(Only re A <br /> 5.Received By: <br /> Print Name) and fee is p I <br /> nt <br /> 3 6.Signatur Beressfk <br /> o X omestic Return Receipt <br /> PS Form 30 <br /> December 1994 <br />