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CRS <br /> r <br /> P• <br /> S ER: f els wish to receive the foilow- <br /> H 17 Complete items 1 an additio services. ing services(for an extra fee): <br /> Complete items 3.4 .and 4b. <br /> ❑Print our name an d the e, �of this rm we can return this 4� <br /> 3 card i you. (� 1- ❑ Addressee's Address a <br /> 1 ❑Anach this form to the fr of the slpiece,or t c it space does not <br /> permit. - //////'''''' 2• ❑ Restricted Delivery 0 <br /> [3 Write'Return Receipt Requesfed'on the mailpiece below the ar �\ <br /> AL3 0 The Return Receipt will stow to whom the article was delivered n ✓1 JUL ���g a <br /> v <br /> -� p delivered. � <br /> N 1a z Artirla Arkiri-q zi-t to, 4a.Article Number <br /> Ln SAVE MART SiF RMARKETS `s <br /> M P 0 BOX 4278 4b.Service Type <br /> ❑Registered ertified <br /> MODESTO CA 95352-4278 ❑ Express Mail Insured <br /> I to <br /> ❑Return Receipt fpr Merchandise ❑COD 7 <br /> i 7.Date of De"ery <br /> N ;z3� T <br /> IMI <br /> 5.Received By: (Print Name) 8.Address 's Addre s(only i/requested and <br /> fee is pa ) n. <br /> o &.Signatur ssea or gent) <br /> a <br /> N <br /> PS Form M 1,-be#nber 1994 102595-99-8-0223 Domestic Return Receipt <br />