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Postal <br /> CERTIFIED MAILT,.I RECEIPT <br /> (Domestic Mail Only;No Insurance Coverage Provided) <br /> ni <br /> Ln <br /> m <br /> m <br /> m <br /> f-rl Postage $ <br /> frI Certified Fee <br /> d Postmark <br /> Q Return Receipt Fee Here <br /> 0 (Endorsement Required) <br /> C3 Restricted Delivery Fee <br /> - (Endorsement Requved) <br /> 1 <br /> -A- <br /> C3 <br /> Ao Total Po• MOHAMAD MATAR <br /> Sent To 1039 E CAMPBELL AVE ____ <br /> r l "sireei,Apl CAMPBELL CA 95008-2400 <br /> or PO BOX ...... <br /> State RE:1901 S EL DORADO-UST R HW RTN:SR <br /> PS Form :rr2006 <br /> Signature <br /> ■ Campl to items 1,2,and 3.Also complete ) ❑Agent <br /> item 4 if Restricted Delivery is desired. X_ <br /> �..--- Addressee <br /> ■ Print y ur name and address on the reverse C. Date oDelivery <br /> so tha we can return the card to you. B. Received by(Printed Name) <br /> ■ Attaco this card to the back of the mailpiece, /I - �d{,�`% I -/C <br /> or on he front if space permits. o ❑Yes <br /> D. Is delivery address different from item 0 No <br /> If YES,enter F <br /> 1. Article ddressed to: Q� <br /> A • <br /> L <br /> MO AMAD MATAR � <br /> 103 E CAMPBELL AVE s. se ice Type <br /> CA PBELL CA 95008-2400 'b Regp n ec ipt for Merchandise <br /> RE:19 1 S EL DORADO-UST&I IW RTS:SR ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Articl Number 7011 0470 0003 3833 5270 <br /> (Tran fer from service label) --- -- --- <br /> 102595-02-M-1540 <br /> . <br /> PS For 3811,February 2004 <br /> Domestic Retum Receipt f ozsss-oz M-t sao <br />