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I . <br /> i <br /> Z 128 782 602 <br /> US Popal Service ' <br /> Reeeip or Certif led ail o <br /> No Insurance Coverage Provided f <br /> Do not use for International Mail(See reverse <br /> Sent to <br /> 3 ` ' o,•_ street a Number <br /> Post Office,state,&TIP Code <br /> Postage $ 'I <br /> t Certified Fee i <br /> ' Special Delivery Fee ` <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> L Retum Receipt ftwilg to whom, <br /> 1 a Date,&Addressee's Address <br /> O TOTAL Postage&Fees <br /> t7D � � ill <br /> Postmark or Date <br /> u- w� I <br /> iL <br /> aa 1 <br /> A i <br /> I also wish to receive the <br /> ri.Complete items f and/or 2 f r di i s following services(for an <br /> Go E'Complete items 3,4a,and 4 . <br /> m r Print your name and addres on t rs his f !• n r�s extra fee <br /> card to you. <br /> e.Attdch this form to the front of the aitpie or on the back If space doe not <br /> perrnit. <br /> ■Write•Refum ReceiptRequested'on the mailpiece bel^t""T". # 2.❑ Restricted Delivery �+ <br /> m ■The Return Receipt will show to whom the article was t ;_r. ' <br /> Y delivered. p —=�r Consult postmaster for fee. <br /> n 3.Article Addressed to: aa.Article NumberIx <br /> DIANE MARAGOS lY r- <br /> $ SUBST LIQUOR 4b.Service Type <br /> r 847 R CLU1�F AVE ❑ Registered Certified <br /> h,ODI CA 95242 ❑ Express Mail 4insured <br /> i ❑ Return Receipt for Merchandise ❑ COD <br /> ` 7. ate of Delivery o v <br /> 0 <br /> 5.Received B 5{Print Name) 8. ddressee's Addres iy if requested c <br /> nd fee is paid) W <br /> r <br /> 6.Signet . {Addressee or Ag nf) <br /> a' X �l <br /> � r <br /> Vhy <br /> 2 PS Form 3811,December 19b4 lozsss- ,e-o2zs Domestic Return Receipt r <br /> t <br /> eblf <br /> _ rly o <br />