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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> Complete items 1,2,and 3.Also complete A. eceived by(Please tint Clearly) G. Date of Delivery <br /> Item 4 it Restricted Delivery is desired. ¢ f 43 <br /> Pll�t your pro and oddross on IN rs"rae G, � nature <br /> Awl <br /> m so that vii t n to you. Addre <br /> m ■ Attach thisthe mailpiece, X ❑Addressee <br /> °0 or on the front i1 space permits. D.. I delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: <br /> M YES,enter delivery address below: ❑ No <br /> r <br /> a <br /> N <br /> M <br /> rur <br /> C3 VAN LAAR 3. S Nice Type <br /> 13 WATERFRONT YACHT HARBOR Certified Mail ❑ Express Mail <br /> SHITE B Registeretl ❑Return Receipt for Merchandise <br /> 0 4505 PRFCA <br /> LANE ❑ insured Mail ❑ C.O.D. <br /> � STOc&TON 95207 2 Extra Fee) 0 Yes <br /> C3 4. Restricted Delivery. <br /> 0 I from servtce labe9 <br /> o 2. Article Number(Copy <br /> C3 102595-004-0952 <br /> r3 Domestic Return Receipt <br /> PS Form 3811,July 1999 <br />