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c. also avian to receive the <br /> S I <br /> •complete items,andW 2 for net 1 owing services(for an <br /> •�01"d�nerns a'4a' form t w return 6" extra f <br /> •Prim your name end �.a <br /> card to yyou. „p _A <br /> e.s`Addr�ess <br /> •Anpeenacn lhis fomt fo t o hon <br /> •Write'Rehim RecelplRequeetad'un the mallp w <br /> •The Retum Receipt wAl stow to whom the article ea <br /> �C delivered. <br /> O <br /> WAYNE HOLLINGSWORTH <br /> 3 AMADOR CORP <br /> P O BOX 667 <br /> N BAYERSFIELD -CA 93303 <br /> 5.Received By: (Print Name) <br /> 6.Signature: (Addressee or Agent) <br /> oe X <br />