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E I •alto with tceive the <br /> .¢ R: _ r an extra <br /> N • complete items 1 and/or 2 fora conal services. following Ice 1994, <br /> - 0 <br /> • Complete items 3,and 4a&b. a can feet: `�' <br /> • Print your name and address on the reverse of thi sot N <br /> '12 m return this Lard to You 1. ❑ Addressee's Address W <br /> � • Attach this form to the front of the mailpiece.or on the back if space G <br /> m <br /> does not permit. 2, El Restricted Delivery , <br /> ® • Write"Return Receipt Requested"on the meilpiece below the article number. <br /> r _�_The Return fleceipt will show to whom the article was delivered and the date consult poStrnaster for fee. 4 <br /> o delivered. 4a. Article Number e <br /> 3. Article Addressed to: -p 298 999 838 <br /> 3 . <br /> 4. � i <br /> m ICRISTMONT WEST 4b. Service Type <br /> 8 ❑ Registered EJ Insured <br /> E 14 0 S CHEZOKEE LN ❑ COD = <br /> ° 95240 )MCertified Retur eceipt for <br /> y <br /> � o <br /> N L CA. ❑ Express Mail ❑ Merch�a dise <br /> UJI 7. Date of Delivery <br /> a 6. Address a ddress(Only if requested jt <br /> 5. ,gnatu a ddressee) and e i aid) t 1 <br /> � rt <br /> 6. Signature (Agent? +. <br /> T PS Form 3611, December 1991 ieu.S,GPO:1092--323-+02 DOMESTIC RETURN RECEIPT <br />