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• Complete Items' 1 an Nor 2 for additlenel ser' U y <br />Complete items 3, 4a, and 4b. <br />• Prim your name and address on the reverse of eo that we can retum this' <br />card to you. <br />-Attach this form to the front of the mallpiece, or on the back if apace does not <br />permit. <br />• Wme'Retum Receipt Requested' on the mailpiem below the article number. <br />•The Return Receipt will Show to whom the article was delivered and the date <br />delivered, <br />ROBERT & CAROL MADSEN <br />239 S STOCKTON <br />RIPON CA 95366 <br />PS aoim 3811, December <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. O Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />Tiber <br />❑ Registered �Certifled <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise O COD <br />and fee is paid) <br />79 <br />