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�SENDER:COM' pLETE THIS SECTION <br /> m Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 it Restricted Delivery is desired. X 0 Agent <br /> K Print your name and address on the reverse 0 Addressee <br /> so that we <br /> WAhjhgpto You• 6, Received by(Printed G. Dale of Delivery <br /> a Attach thib the mai'j piece, <br /> or on the front if space permits. <br /> - <br /> D. Is delivery adores�.,diqerent from item 1'? 1771 Yes <br /> 1. Article Addressed to: If YES,enteraddress bel6w:i <br /> 1A, <br /> JACOB & SA-111 P JOHN <br /> 3 Ice Se ,TJPT!" 7 7 !771,77 <br /> 726 DOSP ERTTY STREET Jg[Certified Mai E r.{i14 � 1 <br /> 5�� <br /> ',4OUN'TAj3%T HOUSE CA 95391 <br /> 171 Registered El Return Receipt for Merchandise <br /> 11 Insured Mail 0 G.O.D. <br /> 4. Restricted Delivery?(Extra Fee) Cl Yes <br /> 2. Article Number 7003 2260 0003 3185 3917 <br /> (Transfer from service label) <br /> PS Forin 3811,February 2004 Domestic Return Receipt IYP,5 02595-02-NI-1540 <br />