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Z 187 935 802 <br /> Receipt for Certified Mali <br /> PAUL SUPPLE <br /> ARCO STATION #4493 <br /> P O BOX 6549 <br /> MORAGA CA 94570 <br /> A F R <br /> W�. <br /> ..� i <br /> SENDE <br /> v ■Completg' fpr additional se % j also wish to receive the <br /> i ■Complete items 3,4a,and 4b. following services(for an <br /> m ■Print your name and address on the reverse�t f s tat e r this extra fee):T _jg��®yr�gppp Card to hOu. Ps' 1`U '} <br /> ■Attformch this form to the front of the maiapiece,or on the back if space es not 1. resS <br /> ermit. <br /> ■Write'Return Receipt Requested'on the mailpiece below the articl(4eqiC) <br /> 2. ❑ Restricted Delivery <br /> p ai <br /> ■The Return RECeipt will show to whom the article was delivered an <br /> delivered. Consult postmaster for fee. Q <br /> 04a.Article Number a <br /> 2 <br /> 2 PAUL SUPPLE ¢ <br /> CL <br /> ARCO STATION #4493 4b.Service Type <br /> coo P O BOX 6549 ❑ Registered Certified <br /> rn <br /> MORAGA CA 94570 ❑ Express Mail ❑ tnsured S <br /> N <br /> CC. ❑ Return Receipt for Merchandise ❑ COC] <br /> 0 7.pate of Delivery - <br /> Z / <br /> n 5.Received By, (Print Name) 8.Addressee'e A, ress(Only if requested � <br /> 6 — and fee is paid) <br /> 0 6.Signature: (AddrIssee orAgen <br /> T X r ._. d. lam. r .i" <br /> N PS Forma 3811, Dece ber 4 Domestic Return Receipt <br />