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d SENDER: I ah sh to receive the <br /> 9 •Complete items 1 an for additional services. folio .g services(for an <br /> n •Complete items 3,4a. _A 4b. <br /> to •Pont your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you1 j ❑.Addressee's Address <br /> .Attach this form to the from e,QBgILif of the mailpiece,or on thspacdo <br /> m Permit eAf6.'�(l� m <br /> :The <br /> Receipt Requested'Or ttre mailpiers 0 anicl n 2; El Restricted Delivery N <br /> •The Return Receipt will show to who anide was delivered and the date y <br /> delivered. •-• - Coilsult postmaster for fee. d <br /> e m <br /> 3.Article Addressed to: OFFICE OF 5 4a1 ANq umb r W <br /> 11 0 135 <br /> EEADVANCED INDUSTRIAL COATINGS, IN 4b.Service Type w <br /> ATTN: RON CYMANSKI ❑ Registered El Certified m <br /> 950 INDUSTRIAL DR EIExpress Mail ❑ Insured c <br /> W STOCKTON, CA 95206 ❑ Return ecei tforMerch n i _ 0 COD <br /> `o <br /> c 6of <br /> @ a6 <br /> T <br /> Y <br /> 5.Received By:(Print Name) dressee's Address(Only ested a <br /> g 6.Signa (A re see orA ant) <br /> T X <br /> PS Form 811, De 1994 195- I6Er9 ,.._.�,YI $ fI1 eceipt <br /> Z 340 470 135 <br /> US Postal Service <br /> Receipt for Certifier, o <br /> No Insurance Coverage Prov A4 <br /> Do not use for International , <br /> Sem to <br /> Street 6 Number All <br /> �O <br /> Pos101fice,Slate,6' <br /> 'A ti <br /> Postage 4Y 0, Ob <br /> Certified F, 1�:)� ,,��h� <br /> r <br /> dr 4�4���4hC� <br /> zpO. .r <br /> Q h p <br /> .spm, <br /> Date,BAs. 5 ass <br /> TOTAL Potosga .Fees $ <br /> € Postmark or Data J_ H <br /> LL <br /> to <br /> a <br />