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D SENDER: fS�oso� s11t ;ntrt:Sd-tg�c},on a- <br />'vJ ❑ Completei✓-.ms 1 and/or 2 for additional services. XS QS'S'MP� <br />w complete .Sms 3, 4a, and 4b. <br />. ❑ Print your name and address on the reverse of this form so that we can return this <br />m card to you. <br />❑ Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. ,. <br />❑ Write 'Return Receipt Requested' on the mailpiece below the aril �, umber. <br />❑ The Return Receipt will show to whom the article was delivered W the date <br />0 delivered. <br />v 3. Article Addressed to: 4a. Article N <br />I also wish to receive the follcw- <br />ing services (for an extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />d <br />Z y3v <br />E BRUCE BEARD 4b. Service Type <br />C / O QUALITY NUT - COMPANY ❑ Registered <br />W PO BOX 739 <br />❑Express 52- <br />G ❑ Return <br />c EMPIRE CA 9 5 319 7. Date fW56ery <br />a <br />5.;'eceived By: (Print Name) 8. Add esse. <br />feet pat <br />c6. Sin Addressee or gen <br />N <br />PS Form 3811, December 1994 102595 - <br />yq 736 <br />Certified <br />CA _. ❑Insured <br />\"."elJo <br />V P <br />Receipt - <br />