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m <br /> 71CU-11 1 also wish to receiv _, the <br /> "a n r 2or onal services. ing services (for art extra V <br /> • Complote items 3,and 4a&h. p,� 0 �Q � <br /> i y • Print your name and address on the reverse o1172T.1 <br /> m0kec A 9 <br /> } return this card to you. ❑ Addressee's Ada ress <br /> 43 Attach this form to the front of the mailpiec , f sp ce <br /> W <br /> does not permit. <br /> m • Write"Return ReceiFt Requested"on the mailp . <br /> low the article number. 2, ❑ Restricted Delive -Y <br /> *L • The Return Receipt will show to whom the article was delivered and the date COrISUlt ostmaster for fe <br /> m <br /> delivered. <br /> 4a. Article Number <br /> 3. Article Addressed to: . E <br /> 41 <br /> m 3 <br /> rCL JAPTEJ GILL 4b. Service Type m <br /> ❑ Registered 1-1 Insured <br /> E . STATE OF CALIFORNIA Certified COD t <br /> -� DEPT OF TRANSPORTATION <br /> � N Return Receipt for � <br /> Express Mail ❑ <br /> a uj P O BOX 2048 Merchandise `o <br /> p STOCKTON CA 95201 7. Date of Delivery <br /> Q C <br /> r <br /> Z5. Signature (Addressee) 8. Addressee's dr ss IOnly if requeste <br /> I and fee is pa' 1 <br /> 6. Signa ent! <br /> I � 1 *U.S.- <br /> > PS rm 1 camber 1 GPO:5983-352-714 DOMMIC RETURN RECEIPT <br />