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ii <br />°' SENDER: <br />9 <br />■Complete items 1 and/or 2 for additional services. <br />I also wish to receive the <br />rn <br />■Complete items 3, 4a, and 4b. <br />following services (for an <br />d <br />■ Print your name and address on the reverse of this form so that we can return this <br />extra fee): <br />j <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the back if space does not <br />1. ❑ Addressee's Address <br />U <br />•� <br />d <br />permit. <br />■Write'Return Receipt Requested'on the mailpiece below <br />the article number. <br />2. ❑ Restricted Delivery <br />N <br />t <br />■The Return Receipt will show to whom the article was delivered <br />and the date <br />c <br />delivered. <br />Consult postmaster for fee. <br />L <br />a <br />3. Article Addressed to: <br />4a. Article Number <br />d <br />Q <br />Z 10-7 q36 q9 <br />E <br />4b. Service Type <br />c°, <br />ATTN DIANE LERI <br />❑ Registered G�-lffertified <br />to <br />CHEVRON PRODUCTS COMPANY <br />❑Express Mail ❑Insured <br />c <br />LU CC <br />P O BOX 6004 <br />❑ Retum Receipt for Merchandise ❑COD <br />o <br />a <br />SAN RAMON CA 94583 <br />7. Date of De UQY <br />Z <br />IWN <br />0 <br />¢ <br />I <br />5. Received By: (Print Name) <br />8. Addressee's Address (Only if requested <br />LU <br />and fee is paid) <br />~I <br />6. Signature: dressee o ent) <br />PS Form 3811, December f994 <br />