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ai SENDE I also wish to receive the <br /> V ■Complete ems n for additional services.Qtp <br /> Z ■Complete items 3,4a,and 4 . follow services(for an <br /> W ■Print your name and adages o he averse of this m o that we retyrn this Xtra jTq <br /> card to you. <br /> ■Aeamc t this form to the front f e 1. ❑ Addressee's ress <br /> `y ■Write"Return Receipt Requested'on them ce below the article number. 2. El Restricted Delivery N <br /> t ■The Return Receipt will show to whom the icle was delivered and the date a <br /> ' delivered. Consult postmaster for fee. <br /> 0 <br /> v 3.Article Addressed to: 4a.Article Number a0i <br /> � <br /> E AWN DAVID CAMILLE 4b.Service Type <br /> $ TOSCO CORP ❑ Registered Certified <br /> tCAI <br /> o00 CROW CANYON PL STE 400 ❑ Express Mail Insured <br /> 1,1 ! a, <br /> RAMON CA 94583 ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of) eliv ry <br /> a 0 <br /> z - °>. <br /> M 5.R ived By: ( Crr�Name) 8.Addresse 's Address(Only if requested <br /> W and fee is paid) t <br /> cc � <br /> 6.Sign ure: (Addy a or Agent) <br /> >>,44 21Z `�/ <br /> PS Form 811, December 1994 Domestic Return Receipt <br />