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d SENDER: <br /> v •Complete items t and/or 2 for additional services. T I also wish to receive the <br /> N •Complete items 3,4a,and 4b. Q 0 R 6 following services(for an <br /> •Prim your name and atldress on the reverse of m gerlhat On return this <br /> card to you. V1(f�� eMra fee): <br /> j •Attach this form to the front of the mailpiece, he b space fes not <br /> m permit. 1. ❑ Addressee's Address •2 <br /> y •Wdte'Refum Receipt Requested'on the ail 'see a rt I mbar. d <br /> •The Return Receipt will show to whom m an e w d date 2. ❑ Restricted Delivery Wdelivered. <br /> o Consult postmaster for fee. ii <br /> 3.Article Addressed to: Article Number <br /> A 11)0 y94 <br /> .. 4ce Type <br /> ELIZABETH EMERY TRUST tared p-Certified z <br /> 301 LOMA as Mail El insured c <br /> LODI CA 95240 Receipt for Merchandise ❑ COD � <br /> f Delivery 3 <br /> z � <br /> r <br /> F 5.Received By:(Print Name) 8.Addressee's Address(Only if requested <br /> Uj <br /> and fee is paid) a <br /> g 6. ig tura:(Atldressee gent <br /> r <br /> 0 <br /> T <br /> _N <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />