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95201 <br />7. Date of Delivery <br />"IN 21 /• <br />5. Signature (Addressee) <br />6.latui <br />DOMESTIC RETURN RECEIPT <br />P aia am m <br />95201 <br />Certified Fee <br />Special Delivery Fee <br />Restricted Delivery Fee <br />S <br />Postmark or Date <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />I also wish to receive the <br />following services (for an extra <br />fee): <br />1. Addressee’s Address <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br /> Insured <br /> COD <br /> Return Receipt for <br />Merchandise_____ <br />c <br />3 <br />o' s co <br />E <br />o <br />V) <br />Q. <br />U) co O) <br />[Agent)^<< <br />( y -------------- <br />PS Form 3811, November 1990 rXl.S. GPO: 1991—287 066 <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, and 4a & b. <br />• Print your name and address on the reverse of this form so that we can <br />return this card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space <br />does not permit. <br />• Write "Return Receipt Requested" on the mailpiece below the article number. <br />• The Return Receipt Fee will provide you the signature of the person delivered <br />to and the date of delivery. <br />3. Article Addressed to: <br />Return Receipt showing <br />to whom and Date Delivered <br />Return Receipt showing to whom. <br />Date, and Address of Delivery <br />TOTAL Postage and Fees <br />VAL SAN ASSOCIATES <br />PO BOX 958 <br />STOCKTON CA <br />2. Restricted Delivery <br />Consult postmaster for fee. <br />4a. Article Number <br />-f-?/3 ■ /<?<! <br />4b. Service Type <br /> Registered <br />^.Certified <br /> Express Mail <br />STOCKTON CA