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Postal <br /> oRECEIPT <br /> N <br /> cp Domestic Mail Only <br /> co For delivery information,visit our welosite at www.usps.com-'. <br /> Lr► OFFICIAL S <br /> � Certified Mail Fee N0 \Qjt �v <br /> !� $ <br /> Extra Services&Fees(check bar,add fee as <br /> ❑Return Receipt(hardcopy) $ <br /> E3 ❑Return Receipt(electronic) $ Qn Postmark <br /> Q ❑Certified Mall Restricted Delivery $ Here <br /> O ❑Adult Signature Required $ (—)WN <br /> ❑Adult Signature Restricted Delivery$ <br /> Postage L <br /> -D PAUL HEISEY <br /> p Total Postage an <br /> $ 9555 S ESCALON BELLOTA RD <br /> ru Sent To ESCALON, CA 95320-9527 <br /> � <br /> 8 i"andApt N <br /> �rty;3iaie;zl�i: Re: C00053401 Rtn: PC <br /> COMPLETEPS Form 3800,April 2015 PSN 7�,30 02 000 904,' See Reverse for Instructions <br /> • ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse \ gent <br /> so that we can return the card to you. \ ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. R ce v ed by(Printed Name) a e of elivery <br /> or on the front if space permits., <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> PAUL HEISEY If YES,enter delivery address below: ❑ No <br /> 9555 S ESCALON BELLOTA RD <br /> ESCALON, CA 95320-9527 <br /> Re: C00053401 Rtn: PC <br /> II I 3, <br /> Service Type El Priority Mail Express <br /> ❑Adult Signature ❑Registered MajITM <br /> 11111110 II I III I II I III II IIIIII III <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 5784 0034 0665 44 Certified Mails Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation- <br /> "Aail ❑Signature Confirmation <br /> 7020 0640 0000 7545 8787 Aail Restricted Delivery Restricted Delivery <br /> o) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />