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Z 128 784 363 <br /> Receirt for Certified €O <br /> PETER VANDER POL "=:-- <br /> TED PETERS TRUCKING <br /> P O BOX 831 , <br /> MANTECA CA 95336 <br /> SECTION00 <br /> SP-14DER:COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete i rrts 1}. Iso Complete AiiRecewed by(Pl ase Print C�{ly) B. Dale of elivery <br /> item}� e rOe Is desired. f x �/Z [� <br /> ■ <br /> Pr ne and address on the reverse "t <br /> so that we can return the card to you. r. Is <br /> n r■ Atta�car tock of th6 madpiece, gentor D e o ermits. ❑Addressee <br /> 1. Article Adr.,essed to: elivery address different from item 1? ❑ Yes <br /> If YES.enter delivery address below: ❑ No <br /> PETER VANDER POL <br /> TED PETERS TRUCKING 3 Service Type <br /> P O BOK 831 A-Certified Mail E3 Express Mail <br /> MANTECA CA 95336 ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 14. Restricted Delivery?(Extra Fee) ❑ Yes <br /> 2. Article Number(Copy from service label) <br /> Form <br /> 11, <br /> P ! 8d u1y, Domestic Re� tozsss-ss . <br /> turn Receipt -M-7,R9 <br />