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sE ER; I so wish to receive the <br /> ti ■Complete items t r a off„ following services(for an <br /> p ~Complete items 3,4a,and 4b. )(J etctra fee}: <br /> .•�. sprint your name and address on <br /> reverie is form so that we can retum this <br /> card to you• <br /> :Attach this form to the front of Ehe mailpiece,or on th�back� icle numbespace does st 2.❑ Restricted lie 1. [3 Addressee's aefY <br /> rL <br /> ■Write'Return Receipt Requested'on the mailpiece b Consult postmaster for fee- <br /> •The Return Receipt Wit show to whom the article , red said the date <br /> delivered. 4a.Article Number <br /> 3.Article Address to: % <br /> 4b.Service T e <br /> ` Certified °C <br /> M —:1 ❑ Registered 9 <br /> � 3Q EIISTIS [3 insured <br /> STIS ❑ Express Mall <br /> CI 0,�1tOBERT T <br /> r` 5457 COVER .CREEK CR ❑ Return Reoaiptfor Merchandise ❑ COD <br /> CA 95207 7.Date of Deltve c <br /> STOCKTO'N v) ' <br /> co : <br /> ru _ j <br /> __ - if requests � <br /> -- � ~ - - B.A ressee's.Address(On y <br /> N <br /> 5.Received 6y:(Print Name) aridBd+f�ialrl) <br /> 6.StgnatutG: Addressee or A <br /> . y. <br /> tpt <br /> X i02595-97-B-0179' .DOOkeg IC Return ReCe <br /> QS Form 3 11,December 1994 <br />