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U.S. Postal Service" <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.com "'. <br />ra es (check box, add fee <br />0 m R (nreckl0PY) $ <br />0 Return Receipt (electronic) $ <br />ID Certified Mall Restricted Delve <br />0 Adult Signature Required ,.. <br />0 Adult Signature Restricted <br />Postmark <br />re <br />Postage <br />B. Received by (Printed Name) <br />/Agent <br />0 Addressee <br />C. D te of elivery <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />A. Signature <br />coo Ctck <br />II III 1111 1111 111111 111111111 <br />Domestic Return Reokt PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />r\l -An 6 29/4 <br />SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />Complete items 1, 2, and 3. <br />III Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />RICHARD GACER <br />3718 VISTA STRErT <br />LONG BEACH CA ')0803-61i 5 <br />Service Type <br />O Adult Signature <br />0 dult Signature Restricted Delivery <br />Certified Mail® <br />Certified Mail Restricted Delivery <br />0 Collect on Delivery <br />0 Collect on Delivery Restricted Delivery <br />ail <br />ail Restricted Delivery <br />Priority Mall Express® <br />0 Registered MallTM <br />0 Registered Mail Restricted <br />Delivery <br />0 Return Receipt for <br />Merchandise <br />0 Signature Confirmation,. <br />0 Signature Confirmation <br />Restricted Delivery <br />Article Number (Transfer from service label) <br />7 019 0700 0001 7756 3490 <br />9590 9402 6099 0125 5515 04 <br />RICHARD GACER <br />3718 VISTA STREET <br />LONG BEACH CA 90803-6115 <br /> <br />for Instructions