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For delivery Information visit our website at www.usps.corne <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />=maim. <br />o- mum <br />/1-10 /mute <br />requizw I . <br />P°Fsitenri: <br />1 <br />• <br />U.S. Postal Service,. <br />CERTIFIED MAIL,. RECEIPT <br />(Domestic Mall Only; No Insurance Coverage Provided) <br />To <br />Sen GLEN C BURGIN <br />PO BOX 187 <br />HOLT CA 95234-0187 <br />City, <br />RE: 8503 WINDMILL COVE - C00035127 RTN: RVF <br />PS Form ;II. ugust 2006 See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />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 />1. Article Addressed to: <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Si ature <br />x4tL. <br />/(6,6,)/ta,k- 0 Agent <br />" 0 Addressee <br />f <br />D. Is deliverrechthess.different from item 1? <br />If YES, tielltrLdeti o,ery,gyddrisip,ta.lew: p No <br />Yes <br />SEP (r7 <br />3. servicPWRONMENTAL HEALT. <br />egistered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />GLEN C BURGIN <br />PO BOX 187 <br />HOLT CA 95234-0187 <br />RE: 8503 WINDMILL COVE - C00035127 <br /> El N R\ I' <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) 7011 2970 0003 9133 0877 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540