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•MI*ETE THIS SECTION COMPLETE • ON DELIVERY <br /> ■ Complete items t,2,and 3.Also complete A. Received by(Please Print CleadyJ 113. Date of Delivery <br /> �• UOM 4 if Restricted Delivery is desired. act-Io,71vo( S-, <br /> N ■ Print your name and address on the reverse • ature <br /> so that w t n to you. D Agent <br /> Lr) ■ Attach this car to�he b c o the maiwME �c ❑Addressee <br /> ru,^p or on the front if space permits. ❑Yes <br /> D. Is deli" d ss d' nt��i <br /> 1. Article Addressed to: �If Y Sa eRE�[ eli ry ad W: NO <br /> FEI ( LUU`f <br /> O t <br /> per _ 4ME li HE �fI <br /> E3 ,� <br /> P RN 'T10qFRVICE tool 9 Z 83J <br /> rrt PAULETTE BOGETTI <br /> C3 " 705 3. 5 rvice Type <br /> P O BO <br /> fl_1Certified Mat <br /> � <br /> / VERNALIS CA '- 95385' ❑ teg;stered e � S or Merchandise <br /> ❑insured Mail ❑ C. <br />�'•.; ' 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2' Article Number 7002 2230 0001 7625 2441 <br /> D tic t rn R ei t � <br /> 102595-00-M-0952 <br /> 69 Ps Form 3811, ]u1y 1999 .y ,3 C�� IF 1 . <br />