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Postal - <br /> M CERTIFIED MAILP <br /> RECEIPT <br /> „r) Domestic Mail Only <br /> CO <br /> ro <br /> r Certified Mail Fee <br /> Extra Services&Fees(check bar,add rea as eppro I r��p <br /> r"� ❑Retum Receipt(hardcopy) $ � <br /> 1:3 ❑Return Receipt(electronic) $ J <br /> Postmark <br /> � ❑certified Mail Restricted Delivery $ —W7) Hate <br /> 0 ❑Adult Signature Required $ `''��('"n""'���""'"--�F��----- dU�d <br /> ❑Adult Signature Restricted Delivery$ <br /> L-J � <br /> Postage K/ <br /> 0 s ARVIN BOERSMA <br /> r-q Total Postage ar <br /> $ 14265 E LEROY AVE <br /> a sentro RIPON, CA 95366-9744 <br /> N §iei7W1idApE]0 <br /> bliy�ta[e;ziP+. Re: PR0539237 Rtn:JG <br /> :•r • rr r r •• <br /> F COMPLETE-- <br /> •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature G; <br /> ■ Print your name and address on the reverse �r en 1 <br /> so that we can return the card to you. X 3 T eats ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. 3^ ^2® <br /> 1. Article Addressed to: D. Is deliveWd ss rpgqt frpr3atorW 13 Yes <br /> ARVIN B O E RSi+�'tA If�€,^,ante- e 7 $,yo0.Ijebv ❑No <br /> ,9 <br /> 14265 E LEROY AVE ` <br /> -RIPON, CA 95366-9744 MAR 2 6 ?OZO <br /> Re: PR0539237 Rtn:JG <br /> I I I I II IIII 'I I II II II I I I I I I I I I I I II I I I I 3. Service yyp�e . gisy Mail Express® <br /> ❑Adult Signs r�'`,al 1 Ti S.L. °I l Roistered lMailTM <br /> Expr <br /> gAdult Signature Restricted Delivery ❑Registered Mail Restricted <br /> P�Certified Mail@ /Delivery <br /> 9590 9402 5616 9274 2202 04 ❑Certified Mail Restricted Delivery B Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> n Incrrrcd Mail ❑Signature Confirmation <br /> Ipjil Restricted Delivery Restricted Delivery <br /> 7 018 1830 0001 6117 4853 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />