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a SENDER: <br /> N • Complete items 1 ar "for additional services. I also •vish to receive the <br /> • Complete items 3, b. followil ces (for an extra u <br /> • print <br /> your name and on the reverse of this form so that we can fee): `�"'� <br /> 0 IBIUfO Ihl9 card to you. 7, L] Addressee's Address A <br /> d> • Attach this form to the front of the mailpiece,or on the back if space a <br /> does not permit. 2. ❑ Restricted Delivery •u <br /> m • write"Return Receipt Requested"on the mailpiece below the article number. <br /> Consult postmaster for fee. ¢ <br /> • The Return Receipt will show to whom the article was delivered and the ate <br /> C delivered. qa. r icr1� um er ` <br /> 3. Article Addressed to: (./) <br /> m _ _—. —. . _ __ — _—__ —. c m <br /> cc <br /> m nn•r rr:.r rm.r C 4b. Service Type <br /> ELAWD'S JIOCKIUIY t�'IARII+IA, IN. ❑ Registered ❑ Insured � <br /> E ATM NI URS[,GEN.MGR. �Certitied ❑ COD `- <br /> rn O P.U. BOX 1385 ❑ Express Mail ❑ Return Receipt for <br /> 95Zf11 Merchandise 8 <br /> w '3TOCKTON,CA 7. Date of Delivery / 9 C c <br /> x <br /> � T <br /> Q <br /> S. Addressee's Address(Only if re ested m <br /> 2 5, g to (A e) and fee is paid) t <br /> F � r <br /> m Signature (Agent) <br /> cc <br /> PT <br /> > PS Form 3811, December 1 1 U.S.GM DOMESTIC RETURN RECEI <br /> N <br />