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dSENf-- <br /> v ■Co e e i dor 2 for additional services. I also wish to receive the <br /> U) ■Comple items s,aa,and 4b. following services(for an <br /> d ■Print your name and address on th r rseqfifor thatw ret n this extra fecard to you. PP ((����■"ttach this fo m to the front of the 1p p of 1. ❑ ddeSSeS�� 1355 <br /> permit.■Write'Return Receipt Requested'on the mabelow the article number. 2. ❑ Restricted Deliven/ C t <br /> L ■The Return Receipt will show to whom the article was delivered and the date <br /> c delivered. Consult postmaster for fee. <br /> m 3.Article Addressed to: 4a.Article Number , <br /> m EKIC ti3EILBURG <br /> o ?• ?155-- V/ cc <br /> E FRANK L & JERRE MOORE 4b.Service Type <br /> rn P 0 BOX 8307 EDRegistered Certified <br /> LOU STOCKTO14 CA 95208 ❑ Express Mail ❑ Insured m <br /> Q ❑ Return Receipt for Merchandise ❑ COD <br /> a 7. Date of Delivery 12 <br /> Z0 <br /> 5. Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> and fee is paid) <br /> cc <br /> w t <br /> 6. Signature: (Addressee or Agent) <br /> o X <br /> T <br /> f/1 <br /> PS Form 9811 December 1994 Domestic Return Receipt <br /> APR 0 6 199P <br /> Z 187 935 727 <br /> US Postal Service <br /> Receipt fo. Certified Mail <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse <br /> Sent to <br /> Street&Number <br /> Post Office,State,&ZIP Code <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> rn a) Return Receipt Showing o <br /> Whom&Date Deli e e <br /> Q Return Receipt Showing <br /> Q Date,&Addressee's Addre <br /> O <br /> CD TOTAL Postage&Fees $ <br /> 00 <br /> C') Pos ark or Date <br /> ECL <br /> ��OD <br /> C <br />