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$E f] I also wish to receive the <br /> V ■Complete items 1 and/or 2 for additional L, ;ntheb <br /> ' K--- lowing services(for an <br /> in ■Complete items 3,4a,and 4b. i ra fee): <br /> al ■print your name and address an the raveor h t e <br /> card to you. ads spa oes -1 Addressee's Address <br /> ■Attach this form to the front of the mailpiem <br /> permit. <br /> ■write'Ratum Receipt Requested"on the mailpiece below the article number. 2, 0 Restricted Delivery V) <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> Consult postmaster for fee. 0 <br /> delivered. v <br /> 4 Artid Number L/17d <br /> ? <br /> 3.Article Addressed to: C <br /> E RLC LAMR SERVICES rtified <br /> 4b.Service Type m . <br /> y p 0 BOX, 1641 ❑ Registered <br /> C sr <br /> ❑ Express Mail ❑ In ured y <br /> n 0C r0N CA 95201 ,,y��-�.r; <br /> ❑ Retum Rebelptfgr•Ju4erindise ❑ COD `o <br /> 7.Date of"Delivery'� . <br /> r� o <br /> 8.Addres'se'e"s Address(Orly equested <br /> Y <br /> 5.Received By:(Print Name) and fee�rs"� Aid) <br /> W <br /> 5 6.Signature, Addres a or Agent) <br /> ' Ile <br /> ' Receipt <br /> Dornesti a#urn <br /> Ps Form 381 , December 1994 <br />