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Biu t!�� <br /> ru p <br /> r` <br /> Ln <br /> !ts <br /> Postage $ <br /> rq 1 <br /> C3 certified Fee <br /> E:3 Return Reciept Fee Postmark <br /> C3 (Endorsement Required) Here <br /> Restricted Delivery Fee <br /> (Endorsement Required) <br /> 0 <br /> ru <br /> Total Postage&Fe,— <br /> THOMAS CRACKO <br /> ru <br /> E3 SentTo 1405 CALIFORNIA STREET <br /> r� -S4ieet,Apt No.; <br /> ESCALON CA 95320 ---------- <br /> or <br /> _----__or PO Box No. <br /> ON <br /> DELIvERy <br /> ® A <br /> Complete items 1,2,and 3.Also complete • <br /> p A. Received by(Please Print Clearly) g, <br /> Item 4 if Restricted Delivery is desired. <br /> 8 Print your name and address on the reverse f live <br /> so tha Fbn a rd to you. C. Si ure <br /> E Attach Is and th of the mailpiece,, X ✓� C <br /> Or on the front if space permits. Agent <br /> 1. Article Addressed to: ®I a Addressee <br /> ml? ❑Yes <br /> erg livery address below: ❑No <br /> SEP 2 2 2003 <br /> THOMAS CHACKO MENT HEALTH <br /> 1405 CALIFORNIA STREET 3. S <br /> ESCALON CA 95320 ertified Mail ❑Express Mail <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) <br /> 2. Article N ,� <br /> umber 7002 2030 0001 7624 5672 � .es <br /> PS Form 3811,July 1999 t�t ,�0 <br /> S D,. _onstj�Return Receipt <br /> 102595-00-M-0952 <br />