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141A olr <br /> m ER: <br /> sq • Compiete items 1 and/or Act additional services. /y�jM I also wish to receive the <br /> o • Complete items 3,and 40$b. ✓ following services /for an extra <br /> ` • Print your name and address on the reverse of this form a hat we can feel: r f <br /> 10 return this card to you. i,i.,°.: `1E rO! <br /> m • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addres5ee'5 A Or865 CIO) l <br /> L does not permit. <br /> • Writs"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> • The Retum Receipt will show to whom the article was delivered and the date m <br /> o delivered. p Consult postmaster for fee. a 0 <br /> �f,o 3. Article Addressed to: 4a. Article Number <br /> C ru <br /> P 298 999 849 3 <br /> ATTN DAVID ATWATER m <br /> E VAN DE POL ELlNTERPRISES INC 4b. Service Type <br /> o Registered U insured C1 <br /> P O BOX 1207 X$Certified ❑ COD 9 <br /> w STOCKTON CA 95203. ❑ Express Mail L'J Return Receipt for � <br /> Cc Merchandise <br /> 7. Date ofsty <br /> a <br /> Avg 7 t4g4 <br /> 15- igna r IAddre ee 8. Addressee's Ad res (Only if requested vW Wand fee is paidl <br /> gn u nt) <br /> L <br /> - PS~ 11, December 1991 *U.S.o�o:+aez a4� DO <br /> MESV RETURN RECEIPT <br />