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- <br />94583-0995 <br />Domestic Return Receipt <br />Postage <br />Certified Fee <br />Special Delivery Fee <br />$ <br />Ci c <br />o co co <br />E <br />o <br />Q? <br />in <br />CDCD <br />T- <br />Q_< <br />0) o <br />■> <br />o <br />(D <br />•5 <br />oc <br />c <br />"20) <br />I “= <br />O)1 <br />- & <br /> o <br />c <br />(0 <br />. .. <br />5d>^5 <br />DEC 2 3 1396 <br />8. Addressee’s Address (Only if requested <br />and fee is paid) <br />z________________________ <br />§ 5. Received By: (Print Name) <br />H i n./zx I 1 <br />DC <br />O <br />p uvn vas aso <br />|2 -1 '^(2?Uo Postal Service 1 ” <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for International Mail (See reverse) <br />JSwSrtP-ftcipc fbet I r- <br />s <br />I also '■"'h to receive the <br />follow ervices (for an <br />extra tbo;: <br />1. Addressee’s Address <br />2. O Restricted Delivery <br />Consult postmaster for fee. <br />14a, Article Number1 D/nq -10505 0 <br />ice Type <br />rtered 0-Certified <br />rssMail Insured <br />r Receipt for Merchandise COD <br />if Delivery <br />ATTN IRENE SOTO <br />PACIFIC BELL <br />2600 CAMINO RAMON ROOM 1N200SS <br />P 0 BOX 5095 <br />SAN RAMON CA <br />6. Signature: (Addressee or Agent) <br />PS Form 3811, December 1994 <br />Restricted Delivery Fee <br />Return Receipt Showing to <br />Whom & Date Delivered <br />Receipt Showing to Whom, <br />< Addressee's Address <br />TOTAL Postage & Fees <br />Postmark or Date <br />SENDER: (Wil UnCLlT ' - <br />■u ■Complete items 1 and/c v additional services. <br />"in ■Complete items 3, 4a,. <br />g ■ Print your name and adu. on the reverse of this form so that we can return this <br />§ ■Attach this form to the front of the mailpiece, or on the back if space does not <br />0) permit. <br />T ■ Write ‘Return Receipt Requested" on the mailpiece below the article number. <br />£ ■The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />■S 3. Article Addressed to: <br />5