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Z 128 784 385! <br /> us Postal Service <br /> Receipt for Certified Mail <br /> No Insurance-GOvaace Pmfi+kted.4531' <br /> M 6 M BOILD <br /> p 0 BOX 11 <br /> .�Oy CA <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> N <br /> m Retum Receipt Showing to <br /> Whom&Data Delivered <br /> .a <br /> Return Receipt Shov.'h9 to Whom, <br /> .tDate,8 Addressees Address <br /> O TOTAL Postage&Fees <br /> W <br /> � Postmark or Date <br /> E <br /> 0 <br /> LL <br /> ■ Co pletgijejsi 2, d nro�mplete <br /> A Received by(Please Print Clearly) B. Date of Delivery <br /> rte 4 if I Deli <br /> ■ Pr' <br /> your name and address on the reverse D. Signature <br /> SO t 4V an ref4r ,4tOard t0 you. ❑Agent <br /> ■ Atta a t�( k of the mailpiece, Q LJ ❑Addressee <br /> or on the front if space permits. D. Is delivery address different from item 17 ❑Ves <br /> �� (n ,`��enta eeliile address below. ❑No <br /> 1. Article Addressed to: y r'�.+�'• `. <br /> L)IN <br /> -- - - 6w O <br /> M 6 M BUILDF7 r <br /> P O BOX 1107 C, Se v w�'.ype J <br /> ed M ress Mail <br /> turntrn Receipt for Merchandise <br /> C.O.D. <br /> 4. M+cied�et!?ery (Eidra Fee) 0 Yes <br /> 2. Article Number(Copy.from servEce le Ps Form 3811 Jul 99 <br /> �i��'( 7TiN Si37 <br /> Dortleg4C Return Receipt to259s99-M t789 <br />