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C1. <br /> SENDER: �/ o �( 8 l9 OZ I also wish to receive the follow- <br /> u1 0 Complete items 1 and/or f r additional services.C"GSA�o,' \ ing services(for an extra fee): <br /> y Complete items 3,4a,and 4b. c. J <br /> 0 Print your name and address on the reverse of this form so that we can return this ai <br /> > card to you. 1. ❑Addressee's Address u <br /> ` o Attach this form v the front of the mailpiece,or on the back if space does not ?. <br /> d Permit. 2• El Restricted Delivery to <br /> .t. 13 Write'Return Receipt Requested"on the mailpiece below the article number. <br /> C O The Return Receipt will show to whom the article was delivered and the date a <br /> p delivered. .d <br /> 10 a Article Addressed fr`ur� 01 2 510 0 0 0 3 2 0869 <br /> IWMB �IM[�_ ' ll \"/ �� <br /> ATTN KEITH KENNED >.ServiceM;:-'.77 <br /> I Re isleCertified <br /> PERMITTING&EN1AQ 1R(:X4 gW MS #15 Exgres ,�� <br /> Expres I fir, t Insured <br /> PO BOX 4025 Return e0 t for M ndis _�COD <br /> SACRAMENTO CA•958WEAEA HEALTH Date of % <br /> Ti CD%/Ir`Cc <br /> g A °> <br /> 5.Receiv t N t 8.Addressee's A ly if requested and e <br /> fee is paid) t <br /> F <br /> M <br /> 6.Signature(A dry (YAe" <br /> 0 <br /> H <br /> PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt <br />