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SENDER: - - U- ry I also wish to receive the <br /> •Complete hams 1 for addit servlcea <br /> A •Complete Items following SeNICeS(for an <br /> I' 4 •Pnnt your name a res r ve of MIs form so that we can return this extra f <br /> C <br /> Attacardch <br /> to you. P M MAIM <br /> 55 <br /> •Attach this form to the front of the mallpiece,or on the back if space do snot 1. e e S <br /> ppeermit. <br /> .Write Wern R ceipt w Requested't won the mailpie w below the ani r. 2.❑ Restricted Delivery <br /> •The Retueyed. Receipt will show to whom the article was delivered a he da <br /> delivered. Consult postmaster for fee. n <br /> � 4a.Article NuJ(�ber��'/ � <br /> S DARIN L ROUSE z dwo. �-y _oiv <br /> $ EXXON USA 4b.Service Type , s/ I CX j <br /> 3 P O BOX 4032 ❑ Registered rtified w <br /> CONCORD CA 94524-4032 <br /> ❑ Express Mail S Insured � <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery <br /> - 1 e <br /> 5.Received By: (Print Name) d.Addressee' ddress(Only if requested Y <br /> and fee is d) ib <br /> 6.Signature: (Add esse () <br /> m PS Form 3811,December 1994 10115954111-a-mv DoIrriestic Return Receipt <br /> Z 128 784 272 <br /> US Postal Service <br /> Recelmit fog Certified Mary` <br /> DARIN L ROUSE <br /> EXXON USA <br /> P O BOX 4032 <br /> CONCORD CA 94524-4032 <br /> AUG 2 01999 <br /> Certified Fee <br /> 4Red <br /> ivery Fee <br /> Delivery Fee <br /> N <br /> ceipt She n to <br /> ate Delivipt Slwwkg t <br /> essees ess Go <br /> M or Da <br /> E <br /> 0 <br /> LL <br /> !n <br /> a <br />