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Z 187 935 7012 <br /> Ce'...•L for Certified Mafil- <br /> HEXRY HANSEN <br /> HM 01 AV <br /> LOD, CA 95240 <br /> FEB 2 " <br /> ......... ......................................... <br /> ............... ... _._ __ <br /> -r <br /> !I}H..................................... <br /> pue!"7"Mair„lit 5}'In. '1Q' <br /> ;._ ,, <br /> l: ,., <br /> y <br /> 0 i T01 Al 2 <br /> d1 r � <br /> 3 <br /> SENDEf I also wish to receive the <br /> Z7 ■Complete dams t andlor 2 for adddional sarvices. r <br /> rn ■Complete items 3,4a,and 4b. L / following services(far an <br /> 0 ■Print your name and address on the reverse ai this{ t r is <br /> E>tt <br /> card to you IFER. ^t%1 2 [fit a c� <br /> ■Attach this form to the fmnl..of the mail a es 1. El Addressee's Address <br /> a permit. ar <br /> ■Write'RetunReceiptt�fequested-onthe ad elo the enu a 2. © Restricted Delivery V) <br /> The <br /> Retum Receipt will show to whom the arlic a was d ivered and the date <br /> delivered. Consult postmaster for fee- <br /> °C a <br /> ............ 4a.Article Number <br /> HENRY HANSENf <br /> a� E <br /> 212f) W LODT AVE: 4h,Service Type <br /> E <br /> W LODI. CA 95240 © Registered Certified at <br /> Ln <br /> ri ❑ Express Mail Insured c <br /> m <br /> w <br /> CC Return Receipt for Merchandise ElCOD <br /> `a <br /> 7.Date of DpOve ,�::. <br /> .. o <br /> z <br /> �^ 8.Addressee's Address Ont if requested <br /> 5.Received 8y: (Print Name) (Onlyc <br /> and fee is�l8! <br /> 'i 6.Signature: (Addressee or Agent) <br /> o <br /> Ps Form 3811, December 1994 DO estic Return Receipt <br />