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lln�� I a so wish t�ve the <br /> m R: Y� U <br /> • Con+�`�= 1 andlor 2 for additional services. following rsejjrgvi s=�for(�aQn�extra ' <br /> m Complete items 3.and 4a&b. fee): k'J1.11 1+y <br /> 0 • print your name and address on the reverse of this form so that we can 1 Addressee's Address <br /> N <br /> Q7 m return this card to you. <br /> Q7 >m • Attach this form to the front of the mailpiece.or on the hack i space 2 ❑ Restricted Delivery m <br /> does not permit. 0 <br /> LCZ m • Write-Return Receipt Requested' On the artjcacebelowthearticlenum to Consult postmaster for fee. �m <br /> • The Return Receipt will show to whom the artic4e was delivered and the date <br /> ftl 2. o delivered, qa.rL= Article Number C <br /> V 3. Article Addressed to: P 298 999 822 y <br /> m <br /> CCP +m R C JABOR SERVICE INC �b Service Type <br /> Cr- C <br /> ❑ Registered ❑ Insured CM <br /> C E p 0 BOX 1641 ❑ COD c <br /> Er C; 09 5 2 01 $XCertified <br /> Cr STOCRTON CA ress Mail ❑ Returnrch Receipt for <br /> ❑ Exp Merchandise p <br /> - w 7. Date of Delivery o <br /> Q' <br /> a d if requested c <br /> Cs_ Q g• Addre e's Address!Only m <br /> 5. Signature (Addressee! and fe i aid! <br /> W ature(Age 1 <br /> Cr ��R1 f "c <br /> � FormDecember 1991 *u.s.Gpo:traez—�� MES71C RETURN RECEIP <br />