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r <br /> SENDER: , 7 <br /> o ■Complete its an,1 r additional services. V t`' I also to receive the <br /> H ■Complete items 3,4a, (0110 @NIC@S(for an <br /> d ■Print your name and ad ss on the reverse of this form so that we can return this extra fee <br /> card to you. ai <br /> d ■Attachthis form to the front of the mailpiece,or on the back if space does not 1. El Address 2 <br /> permit. <br /> ■Write'Return Receipt Re uested'on the mailpiece below the article number. d <br /> d p 4 p 2. El Delivery to <br /> t ■The Return Receipt will show to whom the article was delivered and the date .. <br /> delivered. Consult postmaster for fee. <br /> is 3.Article Addressed to: 4a.Article Number d <br />� d <br /> X80' 7.SC E <br /> E MIRE WILLIAMS C/O 4b.Service Type d <br /> 0 DENNIS RIPPEY ❑ Registered Certified °C <br /> W 'O BOR 7683 ❑ Express Mail Insured as <br /> STOCKTON CA 95267 ❑ Retum Receipt for Merchandise ❑ COD <br /> a7.Date of Delivery <br /> Z <br /> 1-11,:v <br />¢ 5.Recei ed By: Print Name 8.Addressee's Addre Y <br /> y ( ) ) (Only►f requested C <br /> and fee is paid) t <br /> g 6.Signature:(Addressee or Agent) <br /> ~ II <br /> 0 eV <br /> I— PS Form 3811, December 1994 Domestic Return Receipt <br />