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:Complete items 1 endfor 2 forodditional services.: ; i • <br />4a, i ! i DEC 3 <br />1 also wish to receive the <br />Nowing <br />77 <br />;7,k <br />■Complete items 3, and 4b: <br />services (for an <br />d <br />■cPrint <br />too r name and address on the reverse of this form so that we can return this <br />extra fee): <br />❑ Express Mail ❑ Insured <br />ard <br />■Attach this form to the front of the mailpiece, or on the back H space does not <br />1. ❑ Addressee's Address <br />a� <br />permit. <br />■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />2. ❑ Restricted Delivery <br />N <br />■The Return Receipt will show to whom the article was delivered and the date <br />B. Addressee's Address (Only if requested <br />a <br />delivered. <br />Consult postmaster for fee. <br />_ <br />9 <br />CIRCLE K STORES INC <br />P O BOX 52085 <br />PHOENIX AZ 85072-2085 <br />A <br />4a. Article Number <br />ber <br />77 <br />;7,k <br />4b. Service Type <br />d <br />❑ Registered Certified <br />❑ Express Mail ❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />a� <br />7. Date of Delivery <br />DEC 0 910 <br />B. Addressee's Address (Only if requested <br />and fee is paid) <br />t <br />t— <br />X �Ll `-- <br />PS f=orm 3811, 19cember 1994 102595-97-8-0179 Domestic Return <br />