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� 99�7 <br /> PS Form 3800,April 1995 <br /> o o z- c <br /> c s 2 $ 3 g <br /> g <br /> l v <br /> Ln <br /> N m m nm o <br /> „ am o3+ro <br /> 6 M r <br /> m N <br /> VALLEY INDUSTRIES or <br /> 1313 S STOCKTON ST or <br /> LODI CA 95240 <br /> I <br /> I I I I I l t r <br /> d SENDER: I also wish to receive the <br /> 9 ■complete items 1 andlor 2 for additional servicesfollowing services(for an <br /> a ■Complete items 3.4a,and 4b. return this extra fee : <br /> ) y <br /> 4 Pdnt your name and address on the reverse of this form so that we can 0 <br /> YpE card to you. 1. 0 Addressee's Address •� <br /> I Aft®ch MIB In 10 IN front of the mellp 0,or on the beck it apace dose not <br /> e pe mn. IU <br /> y ■Padre Werurn Receipt Requested'm the mailplece below the article number. 2. ❑ Restricted Delivery o. <br /> L •The Retum Receipt will show to whom the article was delivered and the date Consult p0abflasiBf for fee- <br /> delivered. <br /> ee. <br /> delivered. <br /> 0 4a.Article�lumbQr <br /> g 3.ArtiGe Addressed to: - — — '/1 �UI U (�� CLq c <br /> ice Type/// m <br /> stered G30- ertified <br /> VALLEY INDUSTRIES ass Mail ❑ Insured <br /> 1313 S STOCKTON ST ,Receipt for Merchandise ❑ COD <br /> LODI CA 95240 <br /> of Delivery 'o <br /> I T <br /> e.Addressee's Address(Only if requested <br /> r 5. Received By: (P 'nt NameJ and lee is paid) t <br /> W <br /> y r <br /> 6.Signature: (A a rAgent) <br /> o X <br /> Domestic Return Receipt <br /> PS Form 3811, December 1994 <br />