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SEND so wish to receive the <br /> v •Comp) ite s or 2 for tldito services. following services(for an <br /> n •Comple a items 3,ba,and 46. <br /> 'q •Print your name and address on the rave of this fo �we can ret this eMrarfee): q ^/� <br /> card to you. � �ass t <br /> N •Attach this form to the from of the mailp,e o s oe of w f •rte <br /> • permit. n <br /> •Wdte'Retum Receipt Requested'on the mail be the anicle n b c 2. ❑ Restricted Delivery <br /> The Ratum Receipt will show to whom the art, le was eliverad antl the tlate Consult postmaster for fee. <br /> C dellVeted. •$ <br /> 0 4a.Article Number m <br /> _ a 3.Arti,cle Addressed to: <br /> a <br /> JANET r7ISECARVER 4b.Service Type <br /> E_ P O BOR 332 <br /> o ❑ Registered Certified <br /> U FAR14INGTON CA 95230 ❑ Express Mail Insured <br /> LU <br /> ❑ Retum Receipt for Merchandise ❑ COD <br /> 0 7.Date of Delivery ' <br /> 7 r-+ <br /> h a r <br /> 8.Addressee' ddress(Onf IFrequ d E <br /> S.Received By: (Print Name) and fee is <br /> f r <br /> 6.SiIggnatu �\(A ressee rA n <br /> ^ \ <br /> PS Form 381111, December 1994 <br /> ,02595-97-B-0179 Domestic Return Receipt <br /> Z 224 364 410 <br /> us Postal Service <br /> Receipt for Certified Mail <br /> No InsuranceCoverage Provided. <br /> r <br /> Do not use for International Mail See reverse <br /> Sent to <br /> Street 8 Number <br /> r Post Otfice,State,6 ZIP Code <br /> Postage $ <br /> Certified Fee <br /> r <br /> Special Delivery Fee <br /> r <br /> Resuicted Delivery Fee <br /> m Return Receipt Showing to <br /> Whom h Date Delivered <br /> .0 RsWm RWeipt%VWNIoWhW. <br /> p$ Date,It Idtressee's Address <br /> p TOTAL Postage 8 Fees $ <br /> Cq Paetmadjgr Date <br /> WL <br /> E '' <br />