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SENDER: I also wish to receive the <br /> • Complete items 1 and/or 2 for additional services. followir arvices (for an extra m <br /> d • Complete items 3,a' ,&b. <br /> d1 <br /> ass on the reverse of this farm so that we can <br /> fee) til <br /> 9 Print your name and� <br /> return this card to you. 1. ❑ Addressee's Address y <br /> • Attach this form to the front of the mailpiece, or on the back if space a <br /> m Z, ❑ Restricted Delivery 'm <br /> does not permit. p <br /> L . <br /> Write"Return Receipt Requested"on the mailpiece below the article number. <br /> Consult ostmaster for fee. cc <br /> • The Return Receipt will show to whom the article was delivered and the date <br /> delivered. 4a. Art iclep Number <br /> q ` <br /> y 3. Article Addressed to: <br /> N P o3 7 <br /> $----— cc <br /> a 4b. Service Type <br /> c WESTERN SQUARE INDUSTRIES,INC ❑ Registered ❑ Insured <br /> Certified ❑ COD <br /> c <br /> C ATTN:WARREN SNIGER,PRES Express Mail ❑ Return Receipt for <br /> 1621 N BROADWAY Merchandise B <br /> c STOCKTO , .A <br /> r 95 7. D e f Deliver <br /> n > <br /> Q 6, A dressee's Address 10 ly <br /> if equested c <br /> m <br /> 5. Sign ure Ad sseel and fee is paid) t <br /> F- <br /> . ' n (Ag tl <br /> > PS m 11, D bar 991 CU.5.Gpo;1992- 23-402 DOMESTIC RETURN RECEIPT <br /> N <br />