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ki I <br /> I also wish to receive the <br /> �' following services(for an <br /> • !t �p J ■ piste items 1 andlof 2 for additional services. can return this extra fee): ai z. <br /> 0 '■ m'plete items 3,4a,and 4b. erse of this �? <br /> x d Print your name and address on the Wf , t y <br /> card to you. p th s ae no 1. ❑ m <br /> y ■Attai;h this form to the front the ma, a Restricted Delivery <br /> y� permit. icle number 2.❑ .a <br /> m ■Write'Aetum Aecerpt Aequ ted"on the d and the a Consult postmaster for fee. z <br /> .0 ■The Retum Receipt will show to whom th v <br /> C delivered. 4Aq �rt I Number it <br /> 0Pte'] —! C <br /> 3.Article Addressed to: , <br /> �.� <br /> CL7'UM MAR [3 <br /> i 4b.Service Type Certified co <br /> cc < k <br /> [3Registered <br /> c0 1U318 BAKER Rp95205 � Insured -Sr <br /> STOCKTON CA <br /> ❑ Express Mail <br /> ❑ Return Receipt or Merck dice ❑ GOD o <br /> cc 7.Date v } <br /> r s.Add. s e s ddres ( nfy if equested <br /> 5.Receive y:(Print am and + pa d) <br /> 3 6..Signature: (Addressee or Agent <br /> T ' , X D rnestic Return Receipt <br /> PS Form 3811, December 1994 _ _ �.,. <br /> p 590 425470US <br /> �Ptsstri, 12 181 - <br /> R7c pt for Certified Mail F <br /> TOM': <br /> �MARAGLIANO <br /> 10318-..BAKERA <br /> STOCKTON C ��. <br /> T} <br /> Postage $' <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee a <br /> Lr) <br /> Return Receipt Showing to s , <br /> Whom&Date Delivered , <br /> ¢ MUM Receipt Sm"'D f" <br /> C Date,&,addressee's Address r + <br /> p TOTAL Pastege&Fees <br /> _ + i <br /> [V) Posthmark or Date <br /> 0 <br /> t <br /> Ilk <br />