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Z 016 974 051 <br /> Receipt for <br /> Certified Mail <br /> I also wish to receive the No Insurance Coverage Provided <br /> d SENDER: 2i� 1 G ' Do not use for International Mail <br /> following services(for an Eos*.rEs <br /> ■Complete items an or 2 for additional services. oo"s usEwce <br /> extra fee): (See Reverse) <br /> y ■complete items 3,4a,and 4b. ai <br /> N ■Print your name and address on the reverse of this form so that we can return this e <br /> card to you. lets,or on the back if space does not 1. ❑ Addressee's an <br /> 41 ■Attach this fo m to the frorAQ&U*rrk iP ATTN FRED WELLS <br /> d perrr>it. a USTRIES <br /> ■Write'Return Aeopipt i?equ9sred�on the mail below the article number. 2. ❑ Restricted Delivery N TRI IND <br /> Y ■The Reftim Rei elpt will show i0whoria the article was delivered and the date Consult postmaster for fee. L STQCKTON <br /> delivered. ANDERSON ST <br /> 0 4a.Article Number cc 2141 E <br /> V 3.Article Addressed to: p� 4 STOCKTON CA 95205 <br /> 5 <br /> 4b.Service Type m <br /> CICertified <br /> ATTN FRED WELLS ❑ Registered rn <br /> O ❑ Insured C Special Delivery Fee <br /> cn <br /> STOCKTON TRI INDUSTRIES C1 Express Mail y <br /> N 2141 E ANDERSON ST ❑ Return Receipt for Merchandise [I COD Restricted Delivery Fee <br /> W <br /> tx 7. ate o Delivery 3 <br /> ° STOCKTON CA 95205 O m Return Receipt Showing <br /> Q _ �' to Whom&Date Delivered <br /> Y <br /> ? 8. ddr sea's Address(Only if requested C t Return Receipt Showing to Whom, <br /> �gjvgd$ Print rne) u Date,and Addressee's Address <br /> I Re and fee is paid) 6 <br /> $ <br /> L TOTAL Postage <br /> cc &Fees <br /> � 6 Signature: (Addressee or nt) <br /> � Postmark or Date <br /> O y <br /> T A <br /> ,o2sse-s�-B-o,�g Domestic Return Receipt � <br /> PS Form 3811, December 1994 a <br /> LL <br /> U) <br /> CL - <br />