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$Complete de mel AV <br /> di' n <br /> e e I also wish to receive the <br /> e Completp de n b follywing services(for an <br /> •Pant yo,-,namntl 7d0 aeon vers <br /> card b bu. return this ex(oh�1; .� <br /> •Ahach this lone to the front of the mailpiecs,or on the beck' ��++�'�( yQ(aA(} <br /> permh. . pa 1.❑ Ad�rosseA'�`Afldrese yty <br /> •write'Pntum Race/pt Requested"on the mallplece bolo Me rti 2.❑ Restricted Delivery S <br /> •The er edm Receipt will show to whom the article west deli r the tAWW <br /> delivered, Consult postmaster for fee. g <br /> ED ENDICH 44a.Article Number <br /> CL TOP FILLING STATION �y S L O7 <br /> p 4b.Service Type <br /> 1428 E ?�:.r1.2gF,T ST ❑ Registered } <br /> STOCKTON CA 95205-5531 Certified & I <br /> ❑ Express Mail ❑ Insured <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery 2 <br /> 5.Received By: (Print Name) 0 <br /> 8.Addressee's Address(Only if requested <br /> and fee is pat c <br /> 6.Signatur ass ant) M <br /> i� X <br /> ' l <br /> —^ PS Form 3811,D ember 1994 102595-98-&0229 Domestic Return Receipt l <br /> Z 187 935 9173 <br /> US Postal Service <br /> Rec_' It for Certified Mail <br /> ED ENDICH <br /> TOP FILLING STATION <br /> 1428 E MARKET ST <br /> STOCKTON CA 95205-5531 <br /> JUH _ 11999 <br /> 4Receipl <br /> ee <br /> Speciallivery Fee <br /> Delivery Fee <br /> ceipt Showin t <br /> ate DeliveeiptO osta Fees 10 <br /> tD <br /> M Postmark or Date <br /> 0 <br /> LL <br /> N <br /> a <br />