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Ftp\. 'h-r-• ,._..p <br /> _ I <br /> M i 3 i <br /> N 34 <br /> Receipt for <br /> Certified Maq- <br /> No Insurance Coverage Provided + <br /> �Po Do not use for International Mail i <br /> (See Reverse) <br /> Sent to- <br /> KURT A KAUTZ <br /> Street and No. <br /> 10880 N HWY '9"9 <br /> P.O.,State and ZIP Code , <br /> JSTOCKTON CA 95212 <br /> 'Postage <br /> Is <br /> . 29 i <br /> Certified Fee ' - <br /> 1 . 00 <br /> q' Special Delivwv Fee - <br /> Restricted Delivery Fee -- i <br /> I <br /> Return Receipt Showing <br /> to Whom&Date Delivered <br /> 1 . 0 O <br /> Return Receipt Showing to Whom, <br /> ' c Date,and Addressee's Address <br /> TOTAL Postage <br /> C &Fees $ 2 . 29- <br /> 0 <br /> Postmark or Date <br /> M <br /> I 1 a E <br /> D <br /> ILL <br /> C <br /> 0. <br /> I <br /> h_. <br /> • SENDER: Coril items 1 and 2 when additionfil86rvicr o f n gqplete items <br /> 3 and 4. V <br /> Put your address in the "RETURN TO" Space on the reverse side. Fdil`ure too this will prevent this <br /> card from being returned to you.The return receipt fee will provide you the name of,tr'erson delivered <br /> to and the data of deNver .Foradditionaltoes t e following services are IMIla e. or t postmaster <br /> or fes an(i ec c ox es for additional service(s) requested. <br /> 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery <br /> (Extra charge) (Extra charge) <br /> 3. Article Addressed to: 11 4. Article Number <br /> KURT A KAUTZ P 298 999 711 <br /> 10880 N HWY 99 �r Type 5ervic®: <br /> STOCKTON CA 95212 ❑ Registered ❑ Insured <br /> Certified ❑ COD <br /> ❑ Express Mail E] Return Receipt <br /> p for Merchandise <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. ; <br /> 5. SZIt — Address 8. Addressee's Address (ONLY if <br /> X <br /> requested fee paid) <br /> 6. Signature —Agent <br /> ,K <br /> 7. Date of Delivery 1 <br /> JUN 3 a X93 <br /> PS Form 3811, Mar. ign * U.S.G.P.O. 1988-212-865 DOMESTIC RETURN RECEIPT <br /> 4s i— <br />