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SENDER: .�. <br /> o ■Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> rn ■Complete items 3,4a,and 41b. following services(for an <br /> N ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. d <br /> (D ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> permit. <br /> y ■Write"Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery U) <br /> t„ ■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. c <br /> a 'd <br /> v 3.Article Addressed to: 4a.Article NumberCL <br /> ami <br /> o MR COLDANI 4b.Service Type <br /> d <br /> U ❑ Registered C -Certified °C <br /> N 13199 N RAY RD ❑ Express Mail ❑ Insured <br /> LU <br /> LODI CA 95242y <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> 0 7. Date of Delivery <br /> Z NOV 2 1 2001 <br /> 5. Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> w and fee is paid) t <br /> 6.Signature: (Addree cirAgent) <br /> No X i 1, , <br /> C <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />