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a SENDER: <br /> :2 •Complete items 1 7foradditional services. I P''1 Wish to receive the <br /> a :Complete itemss, f..Jing Services(for an <br /> Print your name aAe" verse of this form so that we can return this f (ee): <br /> card to you. di <br /> Attach this form to the front of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address •0 <br /> permit. <br /> y •Wnte'Retum Receipt Requested'on the maitpiece below the article number. 2. ❑ Restricted Delivery 0 <br /> •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. o. <br /> 3.Article Addressed to: 4a.A icle Numbercc <br /> �1 aoi <br /> a <br /> �f0 1 y t(o vZIS <br /> E 5273 4b.Service Type � <br /> o <br /> WESTERN SQUARE INDUSTRIES,INC ❑ Registered $-certified <br /> rn ATTN WARREN SNIDER,PRIES ❑ Express Mail ✓❑ Insured S <br /> rn STO N BROADWAY AVE •y <br /> w STOCKTON CA 95205 <br /> ¢ ❑ Return Receipt for Merchandise ❑ COD <br /> O w <br /> o - 7.Date of Delivery <br /> z 31�� <br /> ¢ _ T <br /> 02 <br /> n 5.Received By: (P ' Name) B.Addressee's Address(Only if requested c <br /> w and fee is paid) t <br /> g 6.Si (A res or t) <br /> 0 <br /> T <br /> b <br /> Ps Form 3811, December 1994 Domestic Return Receipt <br />