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Z 128 782 719 <br /> US Postal Service <br /> 8e4eipt for Certified WO <br /> VAN DE POL ENTERPRISES <br /> PO BOX 1107 <br /> STOCKTON CA 95201 <br /> - .-I.. <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> Return Receipt Showing to <br /> r Whom&Date Delivered <br /> Q Return Receipt Showarg to Whom, <br /> Q Date,&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> Go <br /> M Postmark or Date <br /> E <br /> 0 <br /> LL <br /> U) - <br /> tL <br /> p UJ K,-& L 1 also wish to receive the <br /> ryfollowing <br /> services(for an <br /> ;7t i, I <br /> SENDER: extra fee): s Address <br /> .Complete items 3 and/or f�additional services• that we can return this 1.❑ Addressee' <br /> w a Complete items ress on the reverse of this form so ace does not <br /> Print your name and add 2.❑ Restricted Delivery <br /> card to you. lace,or on tho back H space <br /> •Attach this form to the front of the maiW article number- Consult postmaster for fee. <br /> > nnn. ,jested"on the article <br /> w below the <br /> Receipt Reye the article was delivered and <br /> rite°Return i t will show to whom Q <br /> 9t Tho Return Rete D 4a_Article Number 9 <br /> 3, <br /> ENTERPRISES <br /> DE POL EgPRISES 4b.ServiceType �'Certified oc <br /> ❑ Registered [] Insured <br /> PO BOX 1107 ❑ Express Mail <br /> STOCKTON CA 95201 tforMerchandise ❑ COO <br /> ❑ Return Receip <br /> 7.Date of Delivery <br /> 8.Addressee's AddresS only if requested <br /> 5.Received By: <br /> Print Name) and fee is paid) <br /> e or Agent) <br /> 6.Sign <br /> O X 102595-98-8-0229 Domestic Return Receip <br /> P <br /> orrn 1,Decem <br />