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e Complete items 1, 2, and S. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. ElAgent <br />RN X Print your name and address on the reverse ❑ Addressee <br />so that we can return [Ile card to you. B, Received by (Printed Name) C. Date of Delivery <br />■ Attach this card to the hack of the mailpiece, <br />or on the front if space permits. <br />n i=.tau„e„, mnd,n,s drtferent from item 7? ❑Yes <br />RICHARD L EVANS ANIS KIMBERLY L E{.-JW D <br />CIO HELEN MCANALLY LF TRUST <br />17333 CONCONEX ROAD I AUG 0 2012 <br />MANTECA CA 95336 ! <br />3. ServiceTyptlyl NMENTALHEALTfi <br />e lfiea p�{�ICES <br />❑ gistered eturn Receipt for Merchandise � <br />❑ Insured Mall 0 C.O.D. <br />— r <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. ArticleAmass rfromNumb7010 2780 0000 6697 27`]9 ' <br />(fiansler from s=� � /abe!) _ _ _ <br />PS Form Tary 2004 Domestic Return Receipt 102595-02-M 1540 <br />