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" P. 590� 425 46.5 <br /> usosal S r` �'' <br /> ei t for CertifiedWalil''' <br /> Rece lT T <br /> LVE <br /> BE, & Lv p <br /> BERNARD IMEAR TRUGMiG <br /> 617 N STQQUN AVE <br /> pi PON CA 9533E _ M <br /> Postage $ <br /> Certified Fee " <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Ratum Receipt Showing to <br /> r <br /> Who &Date Delivered <br /> 0. Relum Receipt Showing to Whom, <br /> ¢ Date.&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> co <br /> th Postmark or Date <br /> 0 <br /> LL _ _ - <br /> - r1} <br /> (L <br /> SENDMV I also wish to receive the <br /> ■■Complate items t and/or 2 for additional rvices. following services(for an <br /> w Complete items 3,4a,and 4b. <br /> to ■Print your name and address. the re rse4#6164�i eXt Acardto you. QYt■Attach this form to the front of the mailpiece, he if space does not 1, 8 d rBSS <br /> permit. .r. <br /> a, ■write'Refum Recefpf Requested' nitiie;mar article <br /> below the article number. 2. ❑ Restricted Delivery N" <br /> ■The Return Receipt will show to wti6rti the anicie was delivered and the data Consult postmaster for fee. ° <br /> C <br /> delivered.' <br /> o Article Number d <br /> 3.Article Addressed to: C <br /> CL BERNARD 5: ?, I-EVER 4b.Service Type m <br /> BERN I TF.UCIm1C." ❑ Registered 10 certified <br /> ICC `617 N STOCI.'�i011 AVE <br /> C] Express [I Insured 0 <br /> LU .,RIPOTV CA 95336 ❑ Return o i ❑ COD <br /> a <br /> D 7.Date D roe a <br /> �5.Received 6y: (Print Name) 8.Addr ee My requested cand a pa <br /> 3 6.Sig ure: (Addressee or Agent) <br /> 0 <br /> PS Form 3$11, December 1994 Domestic Return Receipt, <br />