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} 1 al o wish to eceive the <br /> # y Complete' s 1 andlor 2 for addition services. <br /> • Complete items 3,and 4a&b. ` follow�,+t�1g rbeceesy�(��p an extra ai <br /> i • Print your name and address on the reverse Q£QFn4��m sV that we can feel; i Ps�k iaJ <br /> 4) return this card to you. 1` J , <br /> 1 • Attach this fcrm to the front of the mailpiece, t ack if space 1. ❑ Addressee's Address <br /> N <br /> does not permit. .. <br /> t • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery S <br /> •`The Return Receipt will show to whom the article was delivered and the date V <br /> c delivered. Consult postmaster for fee. <br /> 3. Article Addressed to: 4a. Article Number i <br /> HERMAN GRAFNER P 293 132 093 <br /> a 4b. Service Type m <br /> E STATE OF CLAIFORNIA <br /> El Registered ED Insured °C <br /> N 1600 9TH ST Certified ❑ COD y I <br /> NSACRAMENTO CA 95814 ❑ Express Mail ❑ Return Receipt for l <br /> � Merchandise c { <br /> O 7. Date of De1iv <br /> 5. Signature dyes 8. Addres s Address(Only if requested Y t <br /> and fe p id) _ <br /> � 6. Sign ent) <br /> HPS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT <br /> P 293 1,32 093 <br /> Receip � 9 <br /> Certifi J <br /> No)nsurance Coverage Provided. <br /> Do not use for International Mail <br /> (See Reverse) <br /> Sent to <br /> ER <br /> OF CALIFORNIA <br /> PT,604771=6 . <br /> SACRAMENTO r 4 <br /> _ Postage $ <br /> Certified Fee- - <br /> 1.00 _. <br /> Special Delivery Fee .� <br /> ' I <br /> Restricted Delivery Fee <br /> Return Receipt Showing ' <br /> f1 a) to Whom&Date Delivered <br /> I tv Return Receipt Showing to Whom, - <br /> y C Date,and Addressee's Address <br /> 3F <br /> � <br /> TOTAL Postage <br /> C &Fees <br /> 00 Postmark or Date <br /> E <br /> L <br /> to <br /> CIL <br /> _ r <br /> . l , <br /> i <br /> t <br />