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Z 128 784 508 Z 128 784 510 <br /> US Postal Service US Postal Service <br /> Receipt for Certified Mail Receip�rzor Certified Mail <br /> NO IQciiraoccl`nueronn Pmv dad _ No Im—ran..n r`..-Arntdded <br /> Do ARCTIC ICE D° LEE HANSEN W <br /> Sol LEE HANSEN Se ARTIC ICE <br /> Stn 36 NORTH D STREET Sir 6261 KIMBERLY IN <br /> Po STOCKTON CA 95205pp; STOCKTON CA 95212 <br /> Postage —— - $ Postage $ <br /> Certified Fee Certfied Fee <br /> Special Delivery Fee Special Delivery Fee <br /> Restricted Delivery Fee Restricted Delivery Fee <br /> 0' Return Receipt Showing to Return Receipt Showing to <br /> Whom&Date Delivered _� Whom&Date Delivered <br /> n Relum Receipt&frig to Whom, Return Receipt Sho•irg to Whom, <br /> a Date.&Addressee's Address Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees $ m TOTAL Postage&Fees $ <br /> Postmark or pate Postmark or Date <br /> 0 € <br /> a <br /> L <br /> � ILL <br /> rn V) <br /> a a <br /> SENDER: • •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Received by Please Print Clearly) B. Dyle of elivery <br /> item 4 if Restricted Delivery is desired. �-r�C <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. G. Signatu <br /> ■ Attach th �d t1 to�f th .tgte�e, X ❑Agent <br /> or on thelonTif space sri 1 V "', ' Addressee <br /> D. Is delivery address d erent from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: ❑ No <br /> LXE HANSEN <br /> ARTIC ICE <br /> 6261 KIMBERLY LN 3. Se ice Type <br /> STOCKTON CA 95212 Certified Mail ❑ Express Mail <br /> ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.D.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number(Copy from service label) <br /> PS Form 3811,July 1999 Dome tic Retur Receipt 1025-5'00-M-0952 Q2� �fsG� <br />