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i <br /> v <br /> a SEN I also wish to receive the <br /> C •Complete items 1 an r 2 for ditional I s. followina rvlces fO1f nann <br /> Z •Complete items 3,4 ,an 4 � 1 I�JJ <br /> d •Pdnt your name an addre h revs a of is s h e can return this extra f E <br /> card to yyou. 1.❑ Addressee's Address 2 <br /> > •Atlach Ihls form to the fr of the mallplece, he beck if pec do 2 ❑ Restricted Delivery m <br /> `y permit. N <br /> •Write'Return Receipt Requested°on them Ilplec a Consult postmaster for fee. 6 <br /> •The Return Receipt will show to whom the nide <br /> delivered. <br /> !a.Article Number <br /> cc <br /> CECIL DILLION u� 'g3s'�1�07 <br /> 4b.Service Type <br /> En FLAGG CITY INC ❑ Registered ertified <br /> 3 1820 W KETTLEMAN LN STE 5 I Insured <br /> o LORI CA 95242 J JOExpress Mail <br /> ❑ Relurn Re ea <br /> for Merchandise ❑ COD <br /> 7 at o e 2 3 <br /> i <br /> 5.Received By: (Print Name) 8.Add s e's d ss (Only u requested <br /> and lee is pai c <br /> C� 1 bre u <br /> 6.Signature. (Addresse orA nt) <br /> 0 <br /> 2 Rs Form 3811, ecember 1994 io2595-99-B-0229 Domestic Return Receipt <br />